NPIMap

Organization Active NPI

John Paul II Medical Clinic Inc a Professional Corporation

  • Primary Care Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1306498373
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION
Practice address
6529 Seville Ave
Huntington Park, CA 90255-4208
Phone
(323) 582-5770
NPI assigned
Jul 10, 2019
Organization subpart
Yes
Parent organization
JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Authorized official

Name
Dr. Daniel Waldo Velasquez, MD
Title
President
Phone
(323) 582-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6529 Seville Ave
Huntington Park, CA 90255-4208

Mailing address

6529 Seville Ave
Huntington Park, CA 90255-4208
Phone (323) 582-5770

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL personal Other

National Provider Directory

National Provider Directory
Part of
John Paul II Med Clinic Inc

Locations

6529 Seville Ave
Huntington Park, CA 90255
Phone (323) 582-5770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1306498373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554208",
            "telephone_number": "323-582-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554208",
            "telephone_number": "323-582-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN PAUL II MEDICAL CLINIC INC A PROFESSIONAL CORPORATION",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-582-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "personal",
            "affiliation": "N",
            "endpointDescription": "PERSONL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "persoal",
            "address_1": "6529 Seville Ave",
            "city": "Huntington Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902554208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.