Organization Active NPI

Semper Medical Center

  • Primary Care Clinic/Center
  • Duarte, CA
National Provider Identifier
1700160884
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA21107 Issued in CA
Legal business name
SEMPER MEDICAL CENTER
Practice address
1750 Huntington Dr
Suite B
Duarte, CA 91010-2536
Phone
(626) 930-1600
Fax
(626) 930-1655
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Mr. Robert Maxx Martinez I, MPAP, PA-CNPI 1447565791
Title
President
Phone
(818) 653-4299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA21107 CA Primary

Addresses

Primary practice location

1750 Huntington Dr
Suite B
Duarte, CA 91010-2536

Mailing address

1750 Huntington Dr
Suite B
Duarte, CA 91010-2536
Phone (626) 930-1600

National Provider Directory

National Provider Directory

Locations

1750 Huntington Dr
#B
Duarte, CA 91010
Phone (626) 930-1600

1750 Huntington Dr
Ste B
Duarte, CA 91010
Phone (818) 653-4299

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1700160884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HUNTINGTON DR",
            "address_2": "SUITE B",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102536",
            "telephone_number": "626-930-1600",
            "fax_number": "626-930-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HUNTINGTON DR",
            "address_2": "SUITE B",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102536",
            "telephone_number": "626-930-1600",
            "fax_number": "626-930-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MAXX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-653-4299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MPAP, PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "PA21107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.