Active NPI
Virgilio C Panganiban MD Inc
- Family Medicine Physician
- Bellflower, CA
National Provider Identifier
1144475898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34146
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virgilio C Panganiban, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A341460 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Bellflower, CA
- NPI 1114900610
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.