Active NPI
Hector J J. Llenderrozos, MD
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1235219486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 000000G86047
- Practice address
- 1400 S.Grand Ave.
Suite 101
Los Angeles, CA 90015-3048 - Phone
- (213) 744-0801
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 000000G86047 | CA | Primary |
Addresses
Primary practice location
1400 S.Grand Ave.
Suite 101
Los Angeles, CA 90015-3048
Mailing address
P.O. Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000G86047 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
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.
-
- Federally Qualified Health Center (FQHC)
- Anaheim, CA
- NPI 1598790529
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1235219486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S.GRAND AVE.",
"address_2": "SUITE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153048",
"telephone_number": "213-744-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLENDERROZOS",
"first_name": "HECTOR J",
"middle_name": "J.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "000000G86047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.