Active NPI
Jorge Delgadillo, M.D.
- General Practice Physician
- Long Beach, CA
National Provider Identifier
1528337920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A032214
- Practice address
- 3939 Atlantic Ave
Ste 100
Long Beach, CA 90807-3536 - Phone
- (562) 457-6010
- Fax
- (562) 424-5600
- NPI assigned
- Dec 14, 2011
- Last updated
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A032214 | CA | Primary |
| General Practice Physician | 208D00000X | 33524 | MI |
Addresses
Primary practice location
3939 Atlantic Ave
Ste 100
Long Beach, CA 90807-3536
Mailing address
3939 Atlantic Ave
Ste 100
Long Beach, CA 90807-3536
Phone (562) 457-6010
Other names 1
- Jorge Delgadillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A032214 | CA | MD | General Practice Physician |
| 33524 | MI | MD | General Practice Physician |
| 32214 | CA | MD | Physical Therapist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Long Beach, CA
- NPI 1992143184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1528337920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE",
"address_2": "STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536",
"telephone_number": "562-457-6010",
"fax_number": "562-424-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 ATLANTIC AVE",
"address_2": "STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073536",
"telephone_number": "562-457-6010",
"fax_number": "562-424-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADILLO",
"first_name": "JORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A032214",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "33524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORGE",
"last_name": "DELGADILLO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.