Guadalupe C. Pedrano, M.D., Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A40246 Issued in CA

Legal business name

GUADALUPE C. PEDRANO, M.D., INC.

Practice address

2209 N San Fernando Rd
Los Angeles, CA 90065-1231

Phone

(323) 226-0511

Fax

(323) 221-5247

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Guadalupe Cruz Pedrano, M.D.NPI 1174786073

Title

President

Phone

(323) 226-0511

Specialties & licenses 1

Addresses

Other names 1

• Santa Maria Family Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Guadalupe Cruz Pedrano, M.D.

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1174786073
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1720186786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651231",
            "telephone_number": "323-226-0511",
            "fax_number": "323-221-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N SAN FERNANDO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651231",
            "telephone_number": "323-226-0511",
            "fax_number": "323-221-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE C. PEDRANO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "PEDRANO",
        "authorized_official_first_name": "GUADALUPE",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-226-0511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A40246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Maria Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy Gu
• Felicia Gu
• Lisha Gu, DMD
• Payal Kenia Gu, MD
• Guadalajara Medical Clinic
• Guadalupe Medical Group
• Jenny Kimberly Guadarama
• Abraham Guadarrama
• Breyanna Guadarrama
• Juliana Guadarrama

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.