Active NPI
Joselito Perea Poblete, M.D.
- Specialist
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A49607
- Practice address
- 7643 Painter Ave
Whittier, CA 90602-2358 - Phone
- (562) 464-5388
- Fax
- (562) 693-5476
- NPI assigned
- Aug 31, 2007
- Last updated
- Aug 31, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A49607 | CA | Primary |
Addresses
Primary practice location
7643 Painter Ave
Whittier, CA 90602-2358
Mailing address
7643 Painter Ave
Whittier, CA 90602-2358
Phone (562) 464-5388
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49607 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Los Angeles County Department of Public Health | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220
123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325
335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 723-4526
7643 Painter Ave
Whittier, CA 90602
Phone (562) 464-5350
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Public Health & General Preventive Medicine Physician
- Los Angeles, CA
- NPI 1962109033
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1306030374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7643 PAINTER AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906022358",
"telephone_number": "562-464-5388",
"fax_number": "562-693-5476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7643 PAINTER AVE",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906022358",
"telephone_number": "562-464-5388",
"fax_number": "562-693-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POBLETE",
"first_name": "JOSELITO",
"middle_name": "PEREA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A49607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.