NPIMap

Organization Active NPI

Huntington Park Clinica Medica General, Medical Center, Inc

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1053964155
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC
Practice address
6511 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone
(818) 901-9090
Fax
(818) 901-9347
NPI assigned
Jul 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juan Carlos Garcia Bachmann
Title
Office Manager
Phone
(213) 637-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6511 Van Nuys Blvd
Van Nuys, CA 91401-1425

Mailing address

6347 Pacific Blvd
Huntington Park, CA 90255-4101
Phone (323) 583-8383

Other names 1

  • Huntington Park Clinica Medica General, Medical Center, Inc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarlos@lacmg.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Huntington Park Clinica Medica General Medical Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1053964155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6347 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554101",
            "telephone_number": "323-583-8383",
            "fax_number": "323-583-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-901-9090",
            "fax_number": "818-901-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON PARK CLINICA MEDICA GENERAL, MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GARCIA BACHMANN",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-637-2530"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarlos@lacmg.com",
            "affiliation": "N",
            "endpointDescription": "lacmg.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6511 Van Nuys Blvd",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914011425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Huntington Park Clinica Medica General, Medical Center, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.