Organization Active NPI

George a. Bernales, M.D.,Inc.

  • Primary Care Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1376851428
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A47861 Issued in CA
Legal business name
GEORGE A. BERNALES, M.D.,INC.
Practice address
2766 E Florence Ave
Huntington Park, CA 90255-5747
Phone
(323) 583-2718
Fax
(323) 583-1587
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. George Asis Bernales, M.D.
Title
Owner/Physician
Phone
(323) 583-2718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A47861 CA Primary

Addresses

Primary practice location

2766 E Florence Ave
Huntington Park, CA 90255-5747

Mailing address

5235 Dahlia Dr
Los Angeles, CA 90041-1406

Other identifiers 1

IdentifierTypeStateIssuer
00A478611MedicaidCA

Other names 1

  • CLINICA MEDICA BERNALES Doing business as

National Provider Directory

National Provider Directory

Locations

2766 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 583-2718

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1376851428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 DAHLIA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555747",
            "telephone_number": "323-583-2718",
            "fax_number": "323-583-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE A. BERNALES, M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "BERNALES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ASIS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "323-583-2718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A47861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A478611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICA BERNALES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.