Cuidado Latino Medical Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A75388 Issued in CA

Legal business name

CUIDADO LATINO MEDICAL CLINIC INC.

Practice address

3710 Cesar Chavez Ave
Los Angeles, CA 90063-2219

Phone

(323) 980-7777

Fax

(323) 980-7778

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Mori Shaw

Title

Administrator

Phone

(323) 980-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pauline Javier Jose, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1720077662
  Medicare reassignment NPD

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1376862607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-980-7777",
            "fax_number": "323-980-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CESAR CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-980-7777",
            "fax_number": "323-980-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUIDADO LATINO MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MORI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-980-7777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720077662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gita Murthy Cugley, L.C.S.W.
• Hanna Cui
• Jian Cui
• Laura Jane Cui, MD
• Shan Qin Cui
• Olivera Cuk
• Tymon Jair Culberson-Smith
• Joann Culbert-Koehn, LCSW
• Michael Hunter Culbert, MD
• Red Culbertson

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.