Myprime Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MYPRIME CARE INC

Practice address

543 S California Ave
West Covina, CA 91790-3640

Phone

(626) 550-4545

NPI assigned

Dec 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Juan Pablo Pesqueira Gonzalez, MDNPI 1538738265

Title

President/Owner

Phone

(626) 550-4545

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MY PRIME CARE Former legal business name

Locations

Practitioners 1

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

• Juan Pablo Pesqueira Gonzalez, MD

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1538738265
  NPD Authorized official

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1700692167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 S CALIFORNIA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903640",
            "telephone_number": "626-550-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 S CALIFORNIA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903640",
            "telephone_number": "626-550-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPRIME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PESQUEIRA GONZALEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-550-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1538738265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY PRIME CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MY PRIME CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Primary Care Clinic/Center in West Covina, CA
• Providers in West Covina, 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 Jan 30, 2025; 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.