Active NPI
Jeriel Adam Lorca, M.D.
- Child & Adolescent Psychiatry Physician
- Baldwin Park, CA
National Provider Identifier
1568607885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A109637
- Practice address
- 13001 Ramona Blvd Ste a
Baldwin Park, CA 91706 - Phone
- (626) 373-2900
- Fax
- (626) 373-2940
- NPI assigned
- Dec 16, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NOT OBTAINED | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A109637 | CA | Primary |
Addresses
Primary practice location
13001 Ramona Blvd Ste a
Baldwin Park, CA 91706
Mailing address
13001 Ramona Blvd Ste a
Baldwin Park, CA 91706-3752
Phone (626) 373-2900
Other practice location 1
2250 Alcazar St
CSC 2200
Los Angeles, CA 90033
Phone (323) 442-4001
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOT OBTAINED | CA | MD | Psychiatry Physician |
| A109637 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1568607885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE A",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "626-373-2900",
"fax_number": "626-373-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE A",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "91706",
"telephone_number": "626-373-2900",
"fax_number": "626-373-2940"
}
],
"practiceLocations": [
{
"address_1": "2250 Alcazar St",
"address_2": "CSC 2200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90033",
"country_code": "US",
"telephone_number": "323-442-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORCA",
"first_name": "JERIEL",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-16",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "NOT OBTAINED",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A109637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.