Herman Carrillo,M.D. & Marvin Urbina MD Proffesional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A45086 Issued in CA

Legal business name

HERMAN CARRILLO,M.D. & MARVIN URBINA MD PROFFESIONAL CORPORATION

Doing business as

baldwin park-el monte medical group

Practice address

14342 Ramona Blvd
Baldwin Park, CA 91706-3241

Phone

(626) 338-4088

Fax

(626) 814-9068

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By 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

Dr. Herman Carrillo, MDNPI 1881785814

Title

President

Phone

(626) 338-4088

Specialties & licenses 1

Addresses

Other names 1

• baldwin park-el monte medical group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Herman F Carrillo, MD

  • Family Medicine Physician
  • Baldwin Park, CA
  • NPI 1881785814

  General Practice

  Medicare reassignment NPD Authorized official
• Marvin E Urbina, MD

  • Family Medicine Physician
  • Baldwin Park, CA
  • NPI 1225129281
  Medicare reassignment
• Miguel A Castuera, PA-C

  • General Practice Physician
  • Montclair, CA
  • NPI 1679769897
  NPD (past)
• Hajera Sultana, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1063537306
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1124214341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14342 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-338-4088",
            "fax_number": "626-814-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14342 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-338-4088",
            "fax_number": "626-814-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN CARRILLO,M.D. & MARVIN URBINA MD PROFFESIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-338-4088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "baldwin park-el monte medical group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Jane Hechanova
• Thomas Heer, M.D.
• Chris S. Helmstedter, MD
• Will P Hendry, PA
• Herman Carrillo MD
• Mary C. Herman, MD
• Elizabeth Hernandez Sevilla, RDHAP
• David R. Hernandez, MD
• Diane M Hernandez, CNM
• Mariela Limon Hernandez, LCSW

• General Practice Physician in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.