Active NPI
Urrutia Medical Associates, Inc.
- Family Medicine Physician
- Hanford, CA
National Provider Identifier
1457738767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34069
- Legal business name
- URRUTIA MEDICAL ASSOCIATES, INC.
- Practice address
- 355 Campus Dr
Suite a
Hanford, CA 93230-4310 - Phone
- (559) 584-2721
- Fax
- (559) 584-4784
- NPI assigned
- May 6, 2015
- 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
- Ruth Porras
- Title
- Office Manager
- Phone
- (559) 584-2721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A34069 | CA | Primary |
Addresses
Primary practice location
355 Campus Dr
Suite a
Hanford, CA 93230-4310
Mailing address
355 Campus Dr
Suite a
Hanford, CA 93230-4310
Phone (559) 584-2721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A340690 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0585259 | Urrutia Medical Associates, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
355 Campus Dr
Ste A
Hanford, CA 93230
Phone (559) 584-0668
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hanford, CA
- NPI 1205171378
-
- Physician Assistant
- Emeryville, CA
- NPI 1891959300
-
- Family Medicine Physician
- Hanford, CA
- NPI 1659530095
-
- Family Nurse Practitioner
- Hanford, CA
- NPI 1376812073
-
- Medical Physician Assistant
- Porterville, CA
- NPI 1922032499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1457738767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CAMPUS DR",
"address_2": "SUITE A",
"city": "HANFORD",
"state": "CA",
"postal_code": "932304310",
"telephone_number": "559-584-2721",
"fax_number": "559-584-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CAMPUS DR",
"address_2": "SUITE A",
"city": "HANFORD",
"state": "CA",
"postal_code": "932304310",
"telephone_number": "559-584-2721",
"fax_number": "559-584-4784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URRUTIA MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-06",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "PORRAS",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "559-584-2721"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A34069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A340690",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.