Organization Active NPI

Hector Luque, D.O., Inc.

Doing business as Axis Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1528335841
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HECTOR LUQUE, D.O., INC.
Doing business as
Axis Medical Group
Practice address
326 N Soto St
Los Angeles, CA 90033-1815
Phone
(323) 268-5060
Fax
(323) 268-5048
NPI assigned
Dec 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Hector F. Luque, D.O.NPI 1558474395
Title
President
Phone
(323) 268-5060

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

326 N Soto St
Los Angeles, CA 90033-1815

Mailing address

326 N Soto St
Los Angeles, CA 90033-1815
Phone (323) 268-5060

Other names 1

  • AXIS MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000329 CA Part B Supplier - Clinic/Group Practice 9931360831 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1528335841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N SOTO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331815",
            "telephone_number": "323-268-5060",
            "fax_number": "323-268-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N SOTO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331815",
            "telephone_number": "323-268-5060",
            "fax_number": "323-268-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR LUQUE, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "LUQUE",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-268-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXIS MEDICAL GROUP",
            "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 Apr 18, 2012; 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.