Organization Active NPI

Francisco J. Correa, M.D., Inc

  • General Practice Physician
  • San Pedro, CA
National Provider Identifier
1376735340
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A73565 Issued in CA
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

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Francisco J Correa, MCNPI 1164580783
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20071011000464 CA Part B Supplier - Clinic/Group Practice 7315033081 Receives reassigned benefits from 1 practitioner
Practice locations: San Pedro, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.