Hermenegildo G Angeles Jr MD Apc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A066103 Issued in CA

Legal business name

HERMENEGILDO G ANGELES JR MD APC

Doing business as

Hermengildo Angeles Jr MD Apc

Practice address

1850 Sullivan Avenue
Suite 310
Dalu City, CA 94015

Phone

(650) 755-3939

Fax

(650) 755-3883

NPI assigned

Jan 9, 2007

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hermenegildo G Angeles Jr., MD. APCNPI 1396712303

Title

Physician Owner

Phone

(650) 270-0065

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HERMENGILDO ANGELES JR MD APC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Hermenegildo G Angeles Jr., MD APC

  • Geriatric Medicine (Family Medicine) Physician
  • Daly City, CA
  • NPI 1396712303
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1528117660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE #310",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152221",
            "telephone_number": "650-755-3939",
            "fax_number": "650-755-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVENUE",
            "address_2": "SUITE 310",
            "city": "DALU CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-3939",
            "fax_number": "650-755-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMENEGILDO G ANGELES JR MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "HERMENEGILDO",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "650-270-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD. APC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A066103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "CT956A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERMENGILDO ANGELES JR MD APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.