Individual provider Active NPI

Juan Maria Cabrera, M.D.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1447254792
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69850 Issued in CA
Practice address
11 Technology Dr
Irvine, CA 92618-2302
Phone
(855) 206-6764
Fax
(949) 923-3575
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A69850 CA Primary
Hospitalist Physician 208M00000X A69850 CA

Addresses

Primary practice location

11 Technology Dr
Irvine, CA 92618-2302

Mailing address

11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764

Other identifiers 1

IdentifierTypeStateIssuer
00A698500MedicaidCA

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
I20100511000637 CA Practitioner - Internal Medicine 0648378463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vanguard Medical CorporationGroup PAC ID 4587881685, 23 clinicians

Practice addresses (Care Compare)

565 Kern St
Shafter, CA 93263-2133
Phone (661) 746-4937

8150 Hageman Rd
Bakersfield, CA 93312-1959
Phone (661) 459-1010

841 7TH St
Wasco, CA 93280-1919
Phone (661) 459-1001

845 7TH St
Wasco, CA 93280-1919
Phone (661) 459-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Corporation CurrentSince Mar 20, 2024 Accepting new patients
Vanguard Medical Corporation CurrentSince Mar 20, 2024 Accepting new patients
Vanguard Medical Corporation Current Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince Aug 24, 2015 Accepting new patients
Vanguard Medical Corporation Past Accepting new patients
Vanguard Medical Corporation Past Accepting new patients
Jae J. Kim, M.D. Past Accepting new patients
Christiana Medical Group, PA Hospitalist Past Accepting new patients

Locations

1100 Bear Mountain Blvd
Arvin, CA 93203
Phone (559) 799-2701

8150 Hageman Rd
Bakersfield, CA 93312
Phone (661) 459-1010

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

565 Kern St
Shafter, CA 93263
Phone (661) 746-4937

845 7th St
Wasco, CA 93280
Phone (661) 459-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: juan.cabrera.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 8

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

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1447254792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JUAN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69850",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A69850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A698500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.