Individual provider Active NPI

Roberto Luarca, M.D.

  • Internal Medicine Physician
  • Montebello, CA
National Provider Identifier
1740527944
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A46188 Issued in CA
Practice address
709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600
Phone
(562) 949-7979
Fax
(323) 838-5720
NPI assigned
Jan 8, 2013
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X A46188 CA
Internal Medicine Physician 207R00000X A46188 CA Primary

Addresses

Primary practice location

709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600

Mailing address

709 W Beverly Blvd Ste 202
Montebello, CA 90640-3600
Phone (562) 949-7979

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
I20170119002629 CA Practitioner - Internal Medicine 6507155215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A46188CAMDExclusive Provider Organization

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Office a California Corporation Exclusive Provider Organization CurrentSince Aug 23, 2016 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

709 W Beverly Blvd
Ste 202
Montebello, CA 90640
Phone (323) 726-9692

6766 Passons Blvd
Ste A
Pico Rivera, CA 90660
Phone (562) 949-7979

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1740527944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "562-949-7979",
            "fax_number": "562-838-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403600",
            "telephone_number": "562-949-7979",
            "fax_number": "323-838-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUARCA",
        "first_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-08",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "A46188",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A46188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.