Individual provider Active NPI

Judith Cabrera, MD

  • Family Medicine Physician
  • Ontario, CA
National Provider Identifier
1710202734
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A121640 Issued in CA
Practice address
3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201
Phone
(909) 566-0445
NPI assigned
Apr 1, 2010
Last updated
Oct 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A121640 CA Primary

Addresses

Primary practice location

3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201

Mailing address

10418 Valley Blvd
Suite B
El Monte, CA 91731-3600
Phone (626) 453-8466

Other practice location 1

10418 Valley Blvd
Suite B
El Monte, CA 91731-3600
Phone (626) 453-8466

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
I20130129000341 CA Practitioner - Family Practice 8224282272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Family Medicine CurrentSince Feb 6, 2023 Accepting new patients
Concertocare Medical Group of California, P.C. Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 766-6560

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3180 University Ave
Ste 120
San Diego, CA 92104
Phone (858) 529-7229

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: jcabrera@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1710202734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 VALLEY BLVD",
            "address_2": "SUITE B",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313600",
            "telephone_number": "626-453-8466",
            "fax_number": "626-582-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CENTRE LAKE DR STE 512",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611201",
            "telephone_number": "909-566-0445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10418 Valley Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917313600",
            "country_code": "US",
            "telephone_number": "626-453-8466",
            "fax_number": "626-582-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "JUDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A121640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.