Foothill Primary Care, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G53517 Issued in CA

Legal business name

FOOTHILL PRIMARY CARE, INC.

Practice address

931 Buena Vista St Ste 205
Duarte, CA 91010-1713

Phone

(626) 358-1897

Fax

(626) 301-0937

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Roy L. Saenz, M.D.NPI 1831195221

Title

President

Phone

(626) 358-1897

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Roy L Saenz, MD

  • Family Medicine Physician
  • Duarte, CA
  • NPI 1831195221
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1720350259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 205",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101713",
            "telephone_number": "626-358-1897",
            "fax_number": "626-301-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 205",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101713",
            "telephone_number": "626-358-1897",
            "fax_number": "626-301-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-358-1897",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G53517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Flynn, PA-C
• Jeanelle R.W. Folbrecht, PHD
• Jimmy Eric Fong Jr., RN, FNP - C
• Yuman Fong, MD
• Foothill Family Service
• Stephen Forman, MD
• Elena Forouhar, MD
• Four P'S Health Services, Inc.
• Bryanna Franco
• Lauren Franklin

• General Practice Physician in Duarte, CA
• Providers in Duarte, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.