Individual provider Active NPI

Graciela Calatayud, M.D.

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1336252352
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A43174 Issued in CA
Practice address
3400 E Florence Ave
Huntington Park, CA 90255-5835
Phone
(323) 589-9384
Fax
(323) 589-0358
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A43174 CA Primary

Addresses

Primary practice location

3400 E Florence Ave
Huntington Park, CA 90255-5835

Mailing address

982 S San Gabriel Blvd
Pasadena, CA 91107-5542
Phone (626) 683-3571

Other identifiers 1

IdentifierTypeStateIssuer
00A431740MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000302 CA Practitioner - General Practice 4789574070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3400 E Florence Ave
Huntington Park, CA 90255-5835
Phone (323) 589-9384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vladimir Zeetser, DPM, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Del Rosario Medical Clinic, Inc. Family Medicine CurrentSince Mar 18, 1996 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Feb 1, 2025 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2750 E Slauson Ave
Huntington Park, CA 90255
Phone (323) 582-1863

3400 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 589-9384

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: graciela.calatayud@194886878167044.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336252352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 S SAN GABRIEL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911075542",
            "telephone_number": "626-683-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-589-9384",
            "fax_number": "323-589-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALATAYUD",
        "first_name": "GRACIELA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A43174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A431740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.