Individual provider Active NPI

Jose M Torreblanca, M.D.

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1407922107
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41327 Issued in CA
Practice address
10001 California Ave
South Gate, CA 90280-6005
Phone
(323) 564-4408
Fax
(323) 564-9641
NPI assigned
Nov 27, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41327 CA Primary

Addresses

Primary practice location

10001 California Ave
South Gate, CA 90280-6005

Mailing address

10001 California Ave
South Gate, CA 90280-6005
Phone (323) 564-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000522 CA Practitioner - Pediatric MedicinePractitioner - General Surgery 1850462797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Martin de Porres Medical Clinic of South Gate IncGroup PAC ID 3971539941, 2 clinicians
Jose Torreblanca MD IncGroup PAC ID 2062638323, 3 clinicians

Practice addresses (Care Compare)

10001 California Ave
South Gate, CA 90280-6005
Phone (323) 564-4408

7128 Seville Ave
Huntington Park, CA 90255-4906
Phone (323) 588-2186

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41327CAMDPharmacotherapy Pharmacist
A41327CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Torreblanca MD Inc. Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
San Martin de Porres Medical Clinic of South Gate, Inc General Practice CurrentSince Jan 1, 1996 Accepting new patients
Torreblanca Medical Clinic Incorporated Family Medicine Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

7128 Seville Ave
Huntington Pk, CA 90255
Phone (213) 588-2186

10001 California Ave
South Gate, CA 90280
Phone (323) 564-4408

10009 California Ave
South Gate, CA 90280

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1407922107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREBLANCA",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.