Individual provider Active NPI

Luis A. Galdamez, M.D.

  • General Practice Physician
  • Huntington Park, CA
National Provider Identifier
1679604417
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A48644 Issued in CA
Practice address
2955 E Florence Ave
Huntington Park, CA 90255-5836
Phone
(323) 585-0732
Fax
(323) 585-1673
NPI assigned
Mar 7, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A48644 CA Primary

Addresses

Primary practice location

2955 E Florence Ave
Huntington Park, CA 90255-5836

Mailing address

9635 Garnish Dr
Downey, CA 90240-3001
Phone (562) 904-9977

Other identifiers 1

IdentifierTypeStateIssuer
00A486440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000651 CA Practitioner - General Practice 7416915152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luis a. Galdamez, MD Inc.Group PAC ID 7810955655, 6 clinicians

Practice addresses (Care Compare)

2955 E Florence Ave
Huntington Park, CA 90255-5836
Phone (323) 585-0732

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48644CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a. Galdamez, MD Inc. General Practice Current Accepting new patients
Luis a. Galdamez, MD Inc. General Practice CurrentSince Jul 15, 1999 Accepting new patients
Policlinica Familiar San Judas Inc PastSince Mar 19, 2012 Accepting new patients

Locations

2955 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 585-0732

6831 Seville Ave
Huntington Pk, CA 90255
Phone (323) 581-8234

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679604417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9635 GARNISH DR",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403001",
            "telephone_number": "562-904-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555836",
            "telephone_number": "323-585-0732",
            "fax_number": "323-585-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALDAMEZ",
        "first_name": "LUIS",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.