Azul Medical Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A40305 Issued in CA

Legal business name

AZUL MEDICAL CLINIC INC

Practice address

6517 Eastern Ave
Bell Gardens, CA 90201-3003

Phone

(323) 773-8295

Fax

(323) 773-0656

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francisco A Jimenez, MDNPI 1972696573

Title

President

Phone

(323) 773-8295

Specialties & licenses 2

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

Practitioners 4

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

• Francisco A Jimenez, M.D.

  • Family Medicine Physician
  • Upland, CA
  • NPI 1972696573
  Medicare reassignment NPD Authorized official
• Vanessa L Mansilla, NP

  • Family Nurse Practitioner
  • Bell Gardens, CA
  • NPI 1568634723
  Medicare reassignment NPD
• Angel Guillen Perez, MEDICAL DOCTOR

  • Family Medicine Physician
  • Wilmington, CA
  • NPI 1477654440
  Medicare reassignment NPD
• Rafael Antonio Serna, MD

  • Family Medicine Physician
  • Baldwin Park, CA
  • NPI 1841361730
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1679626436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6517 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-8295",
            "fax_number": "323-773-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902013003",
            "telephone_number": "323-773-8295",
            "fax_number": "323-773-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZUL MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-773-8295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A40305",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "17679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Danny Assali, DMD
• Atlantic Recovery Services
• Atlantic Recovery Services
• Atlantic Recovery Services
• Robert Azizi, MD
• Salvador M Baez, M.D.
• Bell Gardens Manor
• Teresa Irma Bertao, FNP
• Beverly Garden Medical Group, Inc.
• Bock J. Kim, DDS, Inc.

• Primary Care Clinic/Center in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.