Guadalupe Cruz Pedrano, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40246 Issued in CA

Practice address

2209 N San Fernando Rd
Los Angeles, CA 90065-1231

Phone

(323) 226-0511

Fax

(323) 221-5247

NPI assigned

Jul 10, 2008

Last updated

Jul 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Guadalupe Pedrano Florescio Other name

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

Specialty

General PracticeAlso: Pediatric Medicine

Education

Other, 1975

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Guadalupe C. Pedrano, M.D., Inc.

  dba Santa Maria Family Medical Clinic

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1720186786
  Medicare reassignment Authorized official
• Cha Hollywood Medical Center, LP

  dba Hollywood Presbyterian Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Dignity Health

  dba Mercy Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)

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

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1174786073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651231",
            "telephone_number": "323-226-0511",
            "fax_number": "323-221-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651231",
            "telephone_number": "323-226-0511",
            "fax_number": "323-221-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRANO",
        "first_name": "GUADALUPE",
        "middle_name": "CRUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "FLORESCIO",
            "middle_name": "PEDRANO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gina Pedone
• Robert Alan Pedowitz, MD
• Pedram Fakheri DMD Inc
• Pedram Sooferi DDS, Inc
• Tyna Pedram, O.D.
• Autumn Navarro Pedranti
• Angel Pedraza
• Jesse Pedraza
• Vanessa Pedraza
• Pedro Domingo-Foraste M.D. Inc., (Inter-American Medical Group.)

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.