Individual provider Active NPI

Paul T Urrea, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1235157363
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G51075 Issued in CA
Practice address
4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168
Phone
(323) 980-9900
Fax
(626) 289-4242
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G51075 CA Primary

Addresses

Primary practice location

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022-1168

Mailing address

25050 Avenue Kearny Ste 208
Valencia, CA 91355-1257
Phone (661) 430-0935

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
I20041021001036 CA Practitioner - Ophthalmology 4385631837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul T Urrea M D M P H IncGroup PAC ID 9638130735, 7 clinicians

Practice addresses (Care Compare)

900 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (626) 570-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul T Urrea M D M P H Inc Ophthalmology CurrentSince Feb 20, 1991 Accepting new patients
Regal Medical Group, Inc. Past Accepting new patients

Locations

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1720 E Cesar E Chavez Ave
Ste 1503
Los Angeles, CA 90033
Phone (323) 980-9900

4560 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 269-0411

1700 E Cesar E Chavez Ave
Ste L300
Los Angeles, CA 90033
Phone (323) 980-9900

850 S Atlantic Blvd
Ste 301
Monterey Park, CA 91754
Phone (626) 289-7699

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

25050 Avenue Kearny
Ste 208
Valencia, CA 91355
Phone (805) 295-0859

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1235157363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551257",
            "telephone_number": "661-430-0935",
            "fax_number": "661-295-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221168",
            "telephone_number": "323-980-9900",
            "fax_number": "626-289-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URREA",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G51075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.