Active NPI
Francisco J. Correa, M.D., Inc
- General Practice Physician
- San Pedro, CA
National Provider Identifier
1376735340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A73565
- Legal business name
- FRANCISCO J. CORREA, M.D., INC
- Practice address
- 1350 W. 6TH St
#3
San Pedro, CA 90732 - Phone
- (310) 241-1000
- Fax
- (310) 241-0086
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francisco J Correa, MC
- Title
- President
- Phone
- (310) 802-3219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A73565 | CA | Primary |
Addresses
Primary practice location
1350 W. 6TH St
#3
San Pedro, CA 90732
Mailing address
1350 West 6TH St
Suite #3
San Pedro, CA 90732
Phone (310) 241-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Downey, CA
- NPI 1801902721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1376735340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 WEST 6TH ST",
"address_2": "SUITE #3",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90732",
"telephone_number": "310-241-1000",
"fax_number": "310-241-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 W. 6TH ST",
"address_2": "#3",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "90732",
"telephone_number": "310-241-1000",
"fax_number": "310-241-0086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCISCO J. CORREA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "FRANCISCO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-802-3219",
"authorized_official_credential": "MC"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A73565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.