Organization Active NPI

Urrutia Medical Associates, Inc.

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1457738767
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34069 Issued in CA
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A340690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707002626 CA Part B Supplier - Clinic/Group Practice 2163714338 Receives reassigned benefits from 2 practitioners
Practice locations: Hanford, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0585259Urrutia Medical Associates, Inc355 N Campus Drive Ste a, Hanford, CA 93230Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.