Organization Active NPI

Centro Ginecologico Baldwin Park

  • Case Manager/Care Coordinator
  • Baldwin Park, CA
National Provider Identifier
1730339730
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CENTRO GINECOLOGICO BALDWIN PARK
Practice address
14311 Ramona Blvd
Baldwin Park, CA 91706-3242
Phone
(626) 480-0160
Fax
(626) 480-0167
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Carlos Alejandro Cervera, M.D.
Title
President
Phone
(626) 480-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

14311 Ramona Blvd
Baldwin Park, CA 91706-3242

Mailing address

14311 Ramona Blvd
Baldwin Park, CA 91706-3242
Phone (626) 480-0160

National Provider Directory

National Provider Directory

Locations

14311 Ramona Blvd
Baldwin Park, CA 91706
Phone (626) 480-0160

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1730339730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-480-0160",
            "fax_number": "626-480-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14311 RAMONA BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063242",
            "telephone_number": "626-480-0160",
            "fax_number": "626-480-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO GINECOLOGICO BALDWIN PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "CERVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-480-0160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.