Active NPI
Emilio Jamorabon Padre, M.D.
- General Practice Physician
- Carson, CA
National Provider Identifier
1245258136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A37011
- Practice address
- 282 E Sepulveda Blvd
Carson, CA 90745-6323 - Phone
- (310) 518-6861
- Fax
- (310) 835-1366
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A37011 | CA | Primary |
Addresses
Primary practice location
282 E Sepulveda Blvd
Carson, CA 90745-6323
Mailing address
282 E Sepulveda Blvd
Carson, CA 90745-6323
Phone (310) 518-6861
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Whittier Hospital Medical Center LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Whittier, CA
- NPI 1497855605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1245258136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 E SEPULVEDA BLVD",
"city": "CARSON",
"state": "CA",
"postal_code": "907456323",
"telephone_number": "310-518-6861",
"fax_number": "310-835-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 E SEPULVEDA BLVD",
"city": "CARSON",
"state": "CA",
"postal_code": "907456323",
"telephone_number": "310-518-6861",
"fax_number": "310-835-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADRE",
"first_name": "EMILIO",
"middle_name": "JAMORABON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A37011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.