Organization Active NPI

Virgilio C Panganiban MD Inc

  • Family Medicine Physician
  • Bellflower, CA
National Provider Identifier
1144475898
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34146 Issued in CA
Legal business name
VIRGILIO C PANGANIBAN MD INC
Practice address
9604 Artesia Blvd
Suite 103
Bellflower, CA 90706-8039
Phone
(562) 925-7033
Fax
(562) 867-8123
NPI assigned
Nov 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Virgilio C Panganiban, MDNPI 1114900610
Title
Director
Phone
(562) 925-7033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A34146 CA Primary

Addresses

Primary practice location

9604 Artesia Blvd
Suite 103
Bellflower, CA 90706-8039

Mailing address

9604 Artesia Blvd
Suite 103
Bellflower, CA 90706-8039
Phone (562) 925-7033

Other identifiers 1

IdentifierTypeStateIssuer
00A341460MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081117000607 CA Part B Supplier - Clinic/Group Practice 1658430244 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, CA

National Provider Directory

National Provider Directory

Locations

9604 Artesia Blvd
Ste 103
Bellflower, CA 90706
Phone (310) 925-7033

16704 Clark Ave
Bellflower, CA 90706
Phone (562) 867-1737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1144475898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 ARTESIA BLVD",
            "address_2": "SUITE 103",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068039",
            "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": "9604 ARTESIA BLVD",
            "address_2": "SUITE 103",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907068039",
            "telephone_number": "562-925-7033",
            "fax_number": "562-867-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGILIO C PANGANIBAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "PANGANIBAN",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-925-7033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.