Active NPI
CC Southbay Medical Associates
- Primary Care Clinic/Center
- Torrance, CA
National Provider Identifier
1639053036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CC SOUTHBAY MEDICAL ASSOCIATES
- Practice address
- 3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934 - Phone
- (562) 316-6555
- NPI assigned
- Jul 31, 2025
- Last updated
- Jun 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roggielyz Yosores Padilla
- Title
- Cfo
- Phone
- (562) 316-6555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| General Practice Physician | 208D00000X | NU | ||
| Hearing and Speech Clinic/Center | 261QH0700X | NU | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Multi-Specialty Clinic/Center | 261QM1300X | NU | ||
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934
Mailing address
3655 Lomita Blvd Ste 421
Torrance, CA 90505-1934
Phone (310) 540-5464
National Provider Directory
National Provider DirectoryLocations
3655 Lomita Blvd
Ste 421
Torrance, CA 90505
Phone (310) 540-5464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Torrance, CA
- NPI 1124566724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782345600000",
"number": "1639053036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD STE 421",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905051934",
"telephone_number": "310-540-5464",
"fax_number": "310-540-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3655 LOMITA BLVD STE 421",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905051934",
"telephone_number": "562-316-6555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CC SOUTHBAY MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-31",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "ROGGIELYZ",
"authorized_official_middle_name": "YOSORES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "562-316-6555"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.