Active NPI
California Trauma Medical Associates Inc
- Specialist
- Los Angeles, CA
National Provider Identifier
1083647697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A63029
- Legal business name
- CALIFORNIA TRAUMA MEDICAL ASSOCIATES INC
- Practice address
- 1401 S Grand Ave
Los Angeles, CA 90015-3010 - Phone
- (213) 742-6407
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gudata Hinika, MD
- Title
- President & Surgeon
- Phone
- (213) 742-6407
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A63029 | CA | Primary |
| Specialist | 174400000X | G60225 | CA |
Addresses
Primary practice location
1401 S Grand Ave
Los Angeles, CA 90015-3010
Mailing address
320 W 15TH St Ste 313
Los Angeles, CA 90015-3007
Phone (213) 742-6407
National Provider Directory
National Provider DirectoryLocations
320 W 15th St
Ste 313
Los Angeles, CA 90015
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Encino, CA
- NPI 1821194945
-
- Surgery Physician
- Los Angeles, CA
- NPI 1427280510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409097600000",
"number": "1083647697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 15TH ST STE 313",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153007",
"telephone_number": "213-742-6407",
"fax_number": "213-748-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153010",
"telephone_number": "213-742-6407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CALIFORNIA TRAUMA MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2014-08-27",
"status": "A",
"authorized_official_last_name": "HINIKA",
"authorized_official_first_name": "GUDATA",
"authorized_official_title_or_position": "PRESIDENT & SURGEON",
"authorized_official_telephone_number": "213-742-6407",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A63029",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G60225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.