Organization Active NPI

Luis Tincopa M D Inc

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1447552831
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A31264 Issued in CA
Legal business name
LUIS TINCOPA M D INC
Practice address
7507 Seville Ave
Huntington Park, CA 90255-6027
Phone
(323) 587-0088
Fax
(323) 587-6234
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Luis Felix Tincopa, M.D.
Title
President
Phone
(323) 587-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A31264 CA Primary

Addresses

Primary practice location

7507 Seville Ave
Huntington Park, CA 90255-6027

Mailing address

7507 Seville Ave
Huntington Park, CA 90255-6027
Phone (323) 587-0088

Other identifiers 2

IdentifierTypeStateIssuer
00A312641MedicaidCA
00A312640MedicaidCA

National Provider Directory

National Provider Directory

Locations

7507 Seville Ave
Huntington Pk, CA 90255
Phone (323) 555-5555

6301 Greenleaf Ave
Whittier, CA 90601
Phone (562) 693-9880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1447552831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556027",
            "telephone_number": "323-587-0088",
            "fax_number": "323-587-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 SEVILLE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902556027",
            "telephone_number": "323-587-0088",
            "fax_number": "323-587-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS TINCOPA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "TINCOPA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-587-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A31264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A312641",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A312640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 21, 2011; 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.