Active NPI
Federico Hinojosa, PA.
- Medical Physician Assistant
- West Covina, CA
National Provider Identifier
1558550343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10150
- Practice address
- 1901 W Badillo St
West Covina, CA 91790-1133 - Phone
- (626) 962-5625
- Fax
- (626) 962-2566
- NPI assigned
- Oct 17, 2007
- Last updated
- May 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10150 | CA | Primary |
Addresses
Primary practice location
1901 W Badillo St
West Covina, CA 91790-1133
Mailing address
1901 W Badillo St
West Covina, CA 91790
Phone (626) 962-5625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R94256 | Other | CA | UPIN |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10150 | CA | MD | Medical Physician Assistant |
Organizations & group practices 2
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.
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- Family Medicine Physician
- West Covina, CA
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-
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- Rialto, CA
- NPI 1053003087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1558550343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W BADILLO ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "91790",
"telephone_number": "626-962-5625",
"fax_number": "626-962-2566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W BADILLO ST",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917901133",
"telephone_number": "626-962-5625",
"fax_number": "626-962-2566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINOJOSA",
"first_name": "FEDERICO",
"name_prefix": "Mr.",
"credential": "PA.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-17",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA10150",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "R94256",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.