NPIMap

Organization Active NPI

Pablito a. Tancinco,M.D.,P.C.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1730355082
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C42661 Issued in CA
Legal business name
PABLITO A. TANCINCO,M.D.,P.C.
Doing business as
Pablito a. Tancinco,M.D.,P.C.
Practice address
2105 Beverly Blvd
Suite #111
Los Angeles, CA 90057-2216
Phone
(213) 413-2280
Fax
(213) 413-0327
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Pablito Aguilar Tancinco, M.D.NPI 1093803280
Title
Physician
Phone
(213) 413-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C42661 CA Primary

Addresses

Primary practice location

2105 Beverly Blvd
Suite #111
Los Angeles, CA 90057-2216

Mailing address

2105 Beverly Blvd
Suite #111
Los Angeles, CA 90057-2216
Phone (213) 413-2280

Other identifiers 1

IdentifierTypeStateIssuer
00C426610MedicaidCA

Other names 1

  • PABLITO A. TANCINCO,M.D.,P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1711 W Temple St
Ste 4689
Los Angeles, CA 90026
Phone (213) 413-2280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1730355082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE #111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-2280",
            "fax_number": "213-413-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD",
            "address_2": "SUITE #111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572216",
            "telephone_number": "213-413-2280",
            "fax_number": "213-413-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLITO A. TANCINCO,M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TANCINCO",
        "authorized_official_first_name": "PABLITO",
        "authorized_official_middle_name": "AGUILAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-413-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C42661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C426610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PABLITO A. TANCINCO,M.D.,P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.