Organization Active NPI

Martha Preciado, M.D. Inc.

Doing business as Preciado Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1477694859
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G51820 Issued in CA
Legal business name
MARTHA PRECIADO, M.D. INC.
Doing business as
Preciado Cardiology, Inc.
Practice address
1701 E Cesar E Chavez Ave
Suite 355
Los Angeles, CA 90033-2464
Phone
(323) 225-8025
Fax
(323) 225-8815
NPI assigned
Feb 9, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Martha Rose Preciado, M.D.NPI 1144244211
Title
President
Phone
(323) 225-8025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G51820 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave
Suite 355
Los Angeles, CA 90033-2464

Mailing address

1701 E Cesar E Chavez Ave
Suite 355
Los Angeles, CA 90033-2464
Phone (323) 225-8025

Other names 1

  • Preciado Cardiology, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000579 CA Part B Supplier - Clinic/Group Practice 6709983349 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, 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
05D2002855Preciado Cardiology, Inc1701 Cesar Chavez Avenue, Suite 355, Los Angeles, CA 90033Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Locations

1701 E Cesar E Chavez Ave
#255
Los Angeles, CA 90033

1701 E Cesar E Chavez Ave
Ste 355
Los Angeles, CA 90033
Phone (323) 225-8025

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1477694859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 355",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-225-8025",
            "fax_number": "323-225-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE 355",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-225-8025",
            "fax_number": "323-225-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA PRECIADO, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "PRECIADO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-225-8025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G51820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preciado Cardiology, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.