Individual provider Active NPI

Jeriel Adam Lorca, M.D.

  • Child & Adolescent Psychiatry Physician
  • Baldwin Park, CA
National Provider Identifier
1568607885
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A109637 Issued in CA
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

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NOT OBTAINEDCAMDPsychiatry Physician
A109637CAMDChild & 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.

Verify at the official NPI Registry.