Del Rosario Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEL ROSARIO MEDICAL CLINIC, INC.

Practice address

3400 E Florence Ave
Huntington Park, CA 90255-5835

Phone

(323) 589-9384

Fax

(323) 589-0358

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Graciela Calatayud, M.D.NPI 1336252352

Title

Medical Director

Phone

(323) 589-9384

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Graciela Calatayud, M.D.

  • Family Medicine Physician
  • Huntington Park, CA
  • NPI 1336252352
  Medicare reassignment NPD Authorized official
• Maria Elena Arredondo

  • Medical Physician Assistant
  • Lakewood, CA
  • NPI 1942569553
  Medicare reassignment
• James Francis Brown, DPM

  • Podiatrist
  • Bakersfield, CA
  • NPI 1073513610
  NPD
• Alfred Lawrence Glover, DPM

  • Podiatrist
  • Inglewood, CA
  • NPI 1205981859
  NPD
• Helen Shnol, DPM

  • Foot Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1295258366
  NPD
• Carmen Edith Brito, N.P.

  • Nurse Practitioner
  • Huntington Park, CA
  • NPI 1427160886
  NPD (past)
• Claudia Raquel Santis, NURSE PRACTITIONER

  • Nurse Practitioner
  • Huntington Park, CA
  • NPI 1760197180
  NPD (past)
• Minou P. Tran, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Pico Rivera, CA
  • NPI 1538137054
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659419307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-589-9384",
            "fax_number": "323-589-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555835",
            "telephone_number": "323-589-9384",
            "fax_number": "323-589-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL ROSARIO MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALATAYUD",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-589-9384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jordan De Leon
• Bernardita L De Los Reyes, M.D.
• Stefanie Deamus
• Armot Dejene
• Rosalinda Del Rio Marquez
• Michael Vincent Dela Cruz, MA, OTR/L
• Cynthia Delgado
• Josefina Delgado
• Zaira Delgado
• Dental Group of Sung Y Lee DMD Inc

• Family Medicine Physician in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.