Active NPI
Santa Elena Medical Center, Inc.
- General Practice Physician
- Pico Rivera, CA
National Provider Identifier
1265617393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SANTA ELENA MEDICAL CENTER, INC.
- Practice address
- 5036 Passons Blvd.
Suite 2
Pico Rivera, CA 90660 - Phone
- (562) 654-2800
- Fax
- (562) 654-2802
- NPI assigned
- Jan 8, 2008
- 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
- Richard Park, M.D.
- Title
- Ceo
- Phone
- (562) 654-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
5036 Passons Blvd.
Suite 2
Pico Rivera, CA 90660
Mailing address
5036 Passons Blvd Ste 2
Pico Rivera, CA 90660-2864
Phone (562) 654-2800
Other names 1
- santa elena medical care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Pico Rivera, CA
- NPI 1841866027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1265617393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5036 PASSONS BLVD STE 2",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906602864",
"telephone_number": "562-654-2800",
"fax_number": "562-654-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5036 PASSONS BLVD.",
"address_2": "SUITE 2",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "90660",
"telephone_number": "562-654-2800",
"fax_number": "562-654-2802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ELENA MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-654-2800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "santa elena medical care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.