Centro Medico Santa Cruz Medical Center, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A34431 Issued in CA

Legal business name

CENTRO MEDICO SANTA CRUZ MEDICAL CENTER, INC

Practice address

8534 Rosecrans Ave.
Paramount, CA 90723

Phone

(562) 602-8877

Fax

(562) 602-8844

NPI assigned

Feb 20, 2007

Last updated

Mar 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Velma Estella Viscarra

Title

Provider Enrollment

Phone

(562) 440-7901

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1114062163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8534 ROSECRANS AVE.",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "90723",
            "telephone_number": "562-602-8877",
            "fax_number": "562-602-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8534 ROSECRANS AVE.",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "90723",
            "telephone_number": "562-602-8877",
            "fax_number": "562-602-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO SANTA CRUZ MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "VISCARRA",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "ESTELLA",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "562-440-7901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CALIFORNIA",
            "identifier": "A34431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camilo S Jorge M.D. Prof Corp
• Joy Ann Alonzo Carlos, NURSE PRACTITIONER
• Jocelyne Melissa Carranza
• Megan Carroll
• Jasmin Castellanos
• Amanda Raye Chamberlin, OD
• Eichin Chang-Lim, O.D.
• Thuylien Chau, FNP
• Viviana Chavoya Cervantes
• Kais Chebbi, DDS

• Family Medicine Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.

Verify at the official NPI Registry.