Individual provider Active NPI

Gustavo Adolfo Torres-Cifuentes, MD

  • Vascular Surgery Physician
  • Montebello, CA
National Provider Identifier
1225138498
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A70962 Issued in CA
Practice address
620 W Beverly Blvd
Montebello, CA 90640-3624
Phone
(323) 869-0871
Fax
(323) 869-0875
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 A70962 CA
Vascular Surgery Physician 2086S0129X A70962 CA Primary

Addresses

Primary practice location

620 W Beverly Blvd
Montebello, CA 90640-3624

Mailing address

1012 W Beverly Blvd # 873
Montebello, CA 90640-4139
Phone (631) 627-0809

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
I20051227000708 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 5991727497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 S Montebello Blvd
Montebello, CA 90640-4730
Phone (323) 869-0871

620 W Beverly Blvd
Suite B
Montebello, CA 90640-3624
Phone (209) 791-3120

Hospital & facility affiliations

  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641
  • Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal27
Leg revascularization (restoring blood flow)59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A70962CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lavs Access Center Inc. Vascular Surgery CurrentSince May 23, 2018 Accepting new patients
Los Angeles Vascular Services, Inc Vascular Surgery CurrentSince Dec 28, 2011 Accepting new patients
Mark Gennaro MD PC Vascular Surgery PastSince Sep 17, 1999 Accepting new patients
North Shore-Lij Medical PC Neurological Surgery Past Accepting new patients
Los Angeles Peripheral Arterial Disease Center Medical Group Vascular Surgery Past Accepting new patients
Los Angeles Vascular Specialists a Professional Medical Corporation Vascular Surgery Past Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1012 W Beverly Blvd
Montebello, CA 90640

620 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (209) 791-3120

120 S Montebello Blvd
Montebello, CA 90640
Phone (323) 720-9204

620 W Beverly Blvd
#A
Montebello, CA 90640

620 W Beverly Blvd
Montebello, CA 90640
Phone (323) 869-0871

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1225138498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W BEVERLY BLVD # 873",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404139",
            "telephone_number": "631-627-0809",
            "fax_number": "310-674-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403624",
            "telephone_number": "323-869-0871",
            "fax_number": "323-869-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-CIFUENTES",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A70962",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A70962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.