Individual provider Active NPI

Emmanuelle Marie Ganzon Cigarroa

  • Medical Physician Assistant
  • East Los Angeles, CA
National Provider Identifier
1063134518
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
607 S Atlantic Blvd
East Los Angeles, CA 90022-3211
Phone
(213) 327-7828
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

607 S Atlantic Blvd
East Los Angeles, CA 90022-3211

Mailing address

11288 Phillippi Ave
Pacoima, CA 91331-1519
Phone (213) 327-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3601 E 1St St
Los Angeles, CA 90063-2325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1063134518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11288 PHILLIPPI AVE",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311519",
            "telephone_number": "213-327-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S ATLANTIC BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900223211",
            "telephone_number": "213-327-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIGARROA",
        "first_name": "EMMANUELLE MARIE",
        "middle_name": "GANZON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.