NPIMap

Organization Active NPI

Clinica MSR. Oscar a. Romero

  • Dental Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1356609762
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
960000308 Issued in CA
Legal business name
CLINICA MSR. OSCAR A. ROMERO
Practice address
123 S Alvarado St
Los Angeles, CA 90057-2201
Phone
(213) 201-2765
Fax
(213) 989-7702
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Albert Pacheco
Title
Executive Director
Phone
(213) 201-2745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 960000308 CA Primary

Addresses

Primary practice location

123 S Alvarado St
Los Angeles, CA 90057-2201

Mailing address

123 S Alvarado St
Los Angeles, CA 90057-2201
Phone (213) 201-2765

Other identifiers 1

IdentifierTypeStateIssuer
FHC70567FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Clinica MSR Oscar a Rom12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1356609762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572201",
            "telephone_number": "213-201-2765",
            "fax_number": "213-989-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S ALVARADO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572201",
            "telephone_number": "213-201-2765",
            "fax_number": "213-989-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MSR. OSCAR A. ROMERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-201-2745"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "960000308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70567F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.