Roberto Madrid, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A56264 Issued in CA

Practice address

1217 W Whittier Blvd
Montebello, CA 90640-4642

Phone

(323) 728-6070

Fax

(323) 728-2912

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Optimum Medical Associates Ipa

  • Health Maintenance Organization
  • Montebello, CA
  • NPI 1740037076
  NPD Authorized official
• Advantage Health Center Inc

  • Family Medicine Physician
  • Chatsworth, CA
  • NPI 1063245553
  NPD (past)
• Modern Concepts Medical Group

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1194930420
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508889585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A56264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LOCATION PAS",
            "identifier": "GROO84064",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LOCATION MTB",
            "identifier": "GR0084062",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A56264",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE LOCATION- ELA",
            "identifier": "GR0084061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Voloshin DDS Professional Dental Corporation
• M.G.a. Home Health Services Inc.
• Jackson Ma, M.D.
• Aiham Machhadani, DDS
• Altagracia Martinez Madera
• Iris Magallanes
• Carlos Garcia Makabali, M.D.
• Ardavan Makaremi, PT, DPT
• Hamid Malakooti, M.D.
• Dominick Alexander Maldonado, DDS

• Family Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.