Virgilio Custodio Panganiban, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A34146 Issued in CA

Practice address

16704 Clark Ave
Bellflower, CA 90706-5204

Phone

(562) 925-7033

Fax

(562) 867-8123

NPI assigned

Nov 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legend Home Health, Inc Home health agency, Torrance, CA, CCN 059578
• Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virgilio C Panganiban MD Inc

  • Family Medicine Physician
  • Bellflower, CA
  • NPI 1144475898
  Medicare reassignment NPD Authorized official
• University of California Irvine

  dba UCI Health Lakewood

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legend Home Health, Inc.

  • Home Health Agency
  • Torrance, CA
  • NPI 1710262001
  Care Compare affiliation
• Long Beach Memorial Medical

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1962442012
  Care Compare affiliation
• University of California Irvine

  dba UCI Health Lakewood

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  Care Compare affiliation

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1114900610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16704 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065204",
            "telephone_number": "562-925-7033",
            "fax_number": "562-867-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16704 CLARK AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065204",
            "telephone_number": "562-925-7033",
            "fax_number": "562-867-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGANIBAN",
        "first_name": "VIRGILIO",
        "middle_name": "CUSTODIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosaelia S Palacios
• Melanie Palmer
• Maria V Pamaran, MD
• Parul Jigneshkumar Panchal, D.D.S.
• Karolyn Celis Panganiban, FNP-C
• Marijke Pantus
• Manuel Parada
• Angelica Paredes, LCSW
• Eun Jung Park
• Il W. Park, MD

• Family Medicine Physician in Bellflower, CA
• Providers in Bellflower, 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 Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.