Active NPI
Luis a. Galdamez, MD Inc.
Doing business as Clinica Medica Virgen de Guadalupe
- Physician Assistant
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15773
- Legal business name
- LUIS A. GALDAMEZ, MD INC.
- Doing business as
- Clinica Medica Virgen de Guadalupe
- Practice address
- 2955 E Florence Ave
Huntington Park, CA 90255-5836 - Phone
- (323) 585-0732
- Fax
- (323) 585-1673
- NPI assigned
- Mar 7, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corina Ayers
- Title
- Administrator
- Phone
- (323) 585-0732
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A050144 | CA | |
| General Practice Physician | 208D00000X | A048644 | CA | |
| Physician Assistant | 363A00000X | PA17148 | CA | |
| Physician Assistant | 363A00000X | PA12501 | CA | |
| Physician Assistant | 363A00000X | PA15773 | CA | Primary |
Addresses
Primary practice location
2955 E Florence Ave
Huntington Park, CA 90255-5836
Mailing address
2955 E Florence Ave
Huntington Park, CA 90255-5836
Phone (323) 585-0732
Other names 1
- Clinica Medica Virgen de Guadalupe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041228000291 | CA | Part B Supplier - Clinic/Group Practice | 7810955655 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntington Park, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Clinica Medica Virgen de Guadalupe #2
- Internal Medicine Physician
- Huntington Park, CA
- NPI 1033240650
O20041228000291
National Provider Directory
National Provider DirectoryLocations
6831 Seville Ave
Huntington Pk, CA 90255
Phone (323) 581-8234
Practitioners & affiliated clinicians
Practitioners 8
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.
-
- Nurse Practitioner
- Huntington Park, CA
- NPI 1861151045
-
- General Practice Physician
- Huntington Park, CA
- NPI 1679604417
-
- Pediatrics Physician
- Huntington Park, CA
- NPI 1316078165
-
- General Practice Physician
- Huntington Park, CA
- NPI 1174543326
-
- Internal Medicine Physician
- Huntington Park, CA
- NPI 1346306958
-
- Student in an Organized Health Care Education/Training Program
- Huntington Park, CA
- NPI 1710646831
-
- Nurse Practitioner
- Huntington Park, CA
- NPI 1538832837
-
- Family Nurse Practitioner
- Downey, CA
- NPI 1154970259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1225168024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555836",
"telephone_number": "323-585-0732",
"fax_number": "323-585-1673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555836",
"telephone_number": "323-585-0732",
"fax_number": "323-585-1673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS A. GALDAMEZ, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "AYERS",
"authorized_official_first_name": "CORINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-585-0732"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A050144",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A048644",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17148",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12501",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinica Medica Virgen de Guadalupe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
- Monica Lozano-Vasquez
- Johana Lozano
- Quyen Lu, PHARM.D.
- Dolores Lucero
- Luis a. Galdamez, MD Inc. (Clinica Medica Virgen de Guadalupe #2)
- Luis Moran DDS a Dental Corp (San Angel Dental Group)
- Luis Tincopa M D Inc
- Lulu L. Chen, MD Inc (Florence Hooper Family Medical Clinic)
- Andrew Luna, PA-C
- Silvia Sarahi Luna
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.