Individual provider Active NPI

Francisco J Correa, M.D.

  • Family Medicine Physician
  • San Pedro, CA
National Provider Identifier
1164580783
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73565 Issued in CA
Practice address
1350 W 6TH St
Ste 3
San Pedro, CA 90732-3583
Phone
(310) 241-1000
Fax
(310) 227-8225
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73565 CA Primary

Addresses

Primary practice location

1350 W 6TH St
Ste 3
San Pedro, CA 90732-3583

Mailing address

1350 W 6TH St
Ste 3
San Pedro, CA 90732-3583
Phone (310) 241-1000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050204000477 CA Practitioner - General PracticePractitioner - Internal Medicine 3779534979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Michigan State University College of Human Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1350 W 6TH St
Suite 3
San Pedro, CA 90732-3583
Phone (310) 241-1000

Hospital & facility affiliations

  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73565CAMDClinical Social Worker
A73565CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francisco J. Correa, M.D., Inc General Practice CurrentSince Aug 1, 2007 Accepting new patients
Nationwide Medical Group, Inc Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Terry D. Ahn DDS., Inc Past Accepting new patients
National Vascular Care Centers PC General Practice PastSince Aug 1, 2007 Accepting new patients
We DO Care Hospice Past Accepting new patients

Locations

1350 W 6th St
Ste 130
San Pedro, CA 90732

1350 W 6th St
Ste 3
San Pedro, CA 90732
Phone (310) 241-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: francisco.correa.1@25734.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1164580783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "STE 3",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323583",
            "telephone_number": "310-241-1000",
            "fax_number": "310-227-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W 6TH ST",
            "address_2": "STE 3",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323583",
            "telephone_number": "310-241-1000",
            "fax_number": "310-227-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.