Organization Active NPI

CC Huntington Park Medical Associates

  • Family Medicine Physician
  • Huntington Park, CA
National Provider Identifier
1609701705
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CC HUNTINGTON PARK MEDICAL ASSOCIATES
Practice address
7130 Pacific Blvd Ste D
Huntington Park, CA 90255-4790
Phone
(562) 444-8422
Fax
(562) 265-4775
NPI assigned
Jun 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Roggielyz Padilla, NP
Title
Ceo
Phone
(562) 316-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7130 Pacific Blvd Ste D
Huntington Park, CA 90255-4790

Mailing address

7130 Pacific Blvd Ste D
Huntington Park, CA 90255-4790
Phone (562) 444-8422

National Provider Directory

National Provider Directory

Locations

7130 Pacific Blvd
Ste D
Huntington Park, CA 90255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1609701705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 PACIFIC BLVD STE D",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554790",
            "telephone_number": "562-444-8422",
            "fax_number": "562-265-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 PACIFIC BLVD STE D",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554790",
            "telephone_number": "562-444-8422",
            "fax_number": "562-265-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC HUNTINGTON PARK MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "ROGGIELYZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-316-6555",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.