Active NPI
Semper Medical Center
- Primary Care Clinic/Center
- Duarte, CA
National Provider Identifier
1700160884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- PA21107
- 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
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-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Medical Physician Assistant
- Duarte, CA
- NPI 1447565791
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.