Juan Carlos Ricaurte MD Inc PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A70169 Issued in CA

Legal business name

JUAN CARLOS RICAURTE MD INC PC

Practice address

1300 North Vermont Ave, Suite 806
Los Angeles, CA 90027-6302

Phone

(323) 663-6790

Fax

(323) 663-6791

NPI assigned

Jul 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Ricaurte, M.D.NPI 1427046341

Title

President

Phone

(626) 320-6303

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Juan Carlos Ricaurte, M.D.

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1427046341
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1174753040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NORTH VERMONT AVE, SUITE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276302",
            "telephone_number": "323-663-6790",
            "fax_number": "323-663-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NORTH VERMONT AVE, SUITE 806",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276302",
            "telephone_number": "323-663-6790",
            "fax_number": "323-663-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN CARLOS RICAURTE MD INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "RICAURTE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-320-6303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A70169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1427046341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JT Integrative Therapy Inc.
• Ju Young Lee DDS Inc
• Alana Celeste Ju, MD
• Bongsu Ju
• Yaping Ju, MD/PHD
• Angelica Juan Martinez, ACSW
• Deisy Juan
• Julius Juan, CPHT
• June Elaine Tiamzon Juanico, PA-C
• Carlos Eduardo Juarez Aguilar, OCCUPATIONAL THERAPI

• Infectious Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.