Edgar Antonio Enriquez, M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

A80489 Issued in CA

Practice address

25775 McBean Pkwy
Suite 216
Valencia, CA 91355-3708

Phone

(661) 253-1353

Fax

(661) 253-1387

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

General SurgeryAlso: Surgical Oncology

Education

University of Southern California Keck School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Henry Mayo Newhall Memorial HospitalGroup PAC ID 5193789121, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
• California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/c65052a3-5b56-4bc7-9da4-b721aa72fb0c/
• Direct secure messaging: eenriquez214394@westdirect.optum.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment Care Compare group NPD
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Medicare reassignment Care Compare group NPD
• Edgar Enriquez, MD Inc.

  • Surgery Physician
  • Valencia, CA
  • NPI 1740580703
  NPD (past) Authorized official
• Henry Mayo Newhall Memorial Hospital

  • Psychiatric Hospital Unit
  • Valencia, CA
  • NPI 1023140464
  NPD
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• International Physicians Management Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Crestline, CA
  • NPI 1952728750
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  Care Compare affiliation
• Henry Mayo Newhall Memorial Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1376632547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MONTEREY RD",
            "address_2": "APT E",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303845",
            "telephone_number": "310-435-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY",
            "address_2": "SUITE 216",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553708",
            "telephone_number": "661-253-1353",
            "fax_number": "661-253-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "EDGAR",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80489",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A80489",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A80489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Enfield
• Angel Engerran
• Douglas Marshall Engh, M.D. ,F.A.C.S., INC.
• Ennead Enterprises Corp
• Ennead Enterprises Corp.
• Ariana Escala
• Monica Alexandra Escalante, RN
• Diana Escarcega
• Angelica Escobar, CCC-SLP
• Jaquelyn Marlene Escobar, BS

• Surgical Oncology Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.