Individual provider Active NPI

Marvin E Urbina, MD

  • Family Medicine Physician
  • Baldwin Park, CA
National Provider Identifier
1225129281
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71133 Issued in CA
Practice address
14342 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone
(626) 338-4088
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 A71133 CA Primary

Addresses

Primary practice location

14342 Ramona Blvd
Baldwin Park, CA 91706-3241

Mailing address

14342 Ramona Blvd
Baldwin Park, CA 91706-3241
Phone (626) 338-4088

Other practice location 1

4451 Holt Blvd
Montclair, CA 91763-4116
Phone (909) 624-3033

Other practice location 2

195 E Foothill Blvd
Rialto, CA 92376-5165
Phone (909) 874-3490

Other practice location 3

16980 Foothill Blvd Ste E
Fontana, CA 92335-3569
Phone (909) 434-0808

Other practice location 4

1431 N Hacienda Blvd
LA Puente, CA 91744-1133
Phone (626) 918-3828

Other identifiers 1

IdentifierTypeStateIssuer
A45086OtherCAMEDICAL LICENSE

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
I20031126000739 CA Practitioner - Family Practice 1557266947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

195 E Foothill Blvd
Rialto, CA 92376-5165
Phone (909) 874-3490

National Provider Directory

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

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Urbina MD & Garcia PA PC Family Medicine CurrentSince Aug 6, 2022 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Maria a Espinoza MD, Inc Family Medicine Past Accepting new patients

Locations

195 E Foothill Blvd
Rialto, CA 92376
Phone (909) 874-3490

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHIJAD/Endpoint/EHIJAD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1225129281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14342 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-338-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14342 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063241",
            "telephone_number": "626-338-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4451 Holt Blvd",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917634116",
            "country_code": "US",
            "telephone_number": "909-624-3033",
            "fax_number": "909-624-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923765165",
            "country_code": "US",
            "telephone_number": "909-874-3490",
            "fax_number": "909-874-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16980 Foothill Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923353569",
            "country_code": "US",
            "telephone_number": "909-434-0808",
            "fax_number": "909-434-0616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1431 N Hacienda Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441133",
            "country_code": "US",
            "telephone_number": "626-918-3828",
            "fax_number": "626-918-3538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBINA",
        "first_name": "MARVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A45086",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

Verify at the official NPI Registry.