Active NPI
George a. Bernales, M.D.,Inc.
- Primary Care Clinic/Center
- Huntington Park, CA
National Provider Identifier
1376851428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A47861
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A478611 | Medicaid | CA |
Other names 1
- CLINICA MEDICA BERNALES
National Provider Directory
National Provider DirectoryLocations
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.