Policlinica Familiar San Judas Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A48644 Issued in CA

Legal business name

POLICLINICA FAMILIAR SAN JUDAS INC

Practice address

6007 Whittier Blvd
East Los Angeles, CA 90022-4401

Phone

(323) 725-1144

Fax

(323) 725-1153

NPI assigned

Jul 31, 2012

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gladis N. Funes, FAMILY NURSE PRACTITNPI 1457543530

Title

Nurse Practitioner

Phone

(323) 725-1144

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gladis Funes, MSN/FNP-BC

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1457543530
  Authorized official Same address or phone
• Luis A. Galdamez, M.D.

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1679604417
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1194071753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-725-1144",
            "fax_number": "323-725-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 WHITTIER BLVD",
            "city": "EAST LOS ANGELES",
            "state": "CA",
            "postal_code": "900224401",
            "telephone_number": "323-725-1144",
            "fax_number": "323-725-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA FAMILIAR SAN JUDAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "FUNES",
        "authorized_official_first_name": "GLADIS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "323-725-1144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FAMILY NURSE PRACTIT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaint Naing, MD
• Daryl Nava
• Anthony Nguyen, D.D.S.
• Melisa Guadalupe Osuna
• Julia Park
• Ana Posada
• Blanca A. Quevedo
• Sergio Quirarte
• Adam Abraham Radwan
• Heliberto Ramos Gonzalez, MSW

• Family Medicine Physician in East Los Angeles, CA
• Providers in East Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.