Individual provider Active NPI

Alfonso L Barragan, MD FACS

  • Surgery Physician
  • Monterey Park, CA
National Provider Identifier
1174628325
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A29368 Issued in CA
Practice address
880 S Atlantic Blvd Ste 302
Monterey Park, CA 91754-4785
Phone
(626) 281-8835
Fax
(626) 281-1526
NPI assigned
Sep 13, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A29368 CA Primary
General Practice Physician 208D00000X A29368 CA

Addresses

Primary practice location

880 S Atlantic Blvd Ste 302
Monterey Park, CA 91754-4785

Mailing address

880 S Atlantic Blvd Ste 302
Monterey Park, CA 91754-4785
Phone (626) 281-8835

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
I20120511000227 CA Practitioner - General SurgeryPractitioner - General Practice 9436312337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: General Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginias Total Care Medical Group IncGroup PAC ID 2466784392, 2 clinicians

Practice addresses (Care Compare)

850 S Atlantic Blvd
Suite 302
Monterey Park, CA 91754-6711
Phone (626) 281-8835

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A29368CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginias Total Care Medical Group Inc General Practice CurrentSince Jan 8, 2019 Accepting new patients
Associated Hispanic Physicians Medical Group Inc PastSince Apr 1, 2010 Accepting new patients

Locations

850 S Atlantic Blvd
Ste 300
Monterey Park, CA 91754
Phone (626) 281-8835

850 S Atlantic Blvd
Ste 302
Monterey Park, CA 91754
Phone (626) 281-8835

880 S Atlantic Blvd
Ste 302
Monterey Park, CA 91754
Phone (626) 281-8835

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1174628325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544785",
            "telephone_number": "626-281-8835",
            "fax_number": "626-281-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S ATLANTIC BLVD STE 302",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544785",
            "telephone_number": "626-281-8835",
            "fax_number": "626-281-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRAGAN",
        "first_name": "ALFONSO",
        "middle_name": "L",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A29368",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A29368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.