NPIMap

Organization Active NPI

Edgar Enriquez, MD Inc.

  • Surgery Physician
  • Valencia, CA
National Provider Identifier
1740580703
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A80489 Issued in CA
Legal business name
EDGAR ENRIQUEZ, MD INC.
Practice address
27420 Tourney Rd
Suite 210
Valencia, CA 91355-5601
Phone
(661) 253-1353
Fax
(661) 253-1387
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Edgar Antonio Enriquez, M.D.NPI 1376632547
Title
President
Phone
(310) 435-4450

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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A80489 CA Primary

Addresses

Primary practice location

27420 Tourney Rd
Suite 210
Valencia, CA 91355-5601

Mailing address

PO Box 367
South Pasadena, CA 91031-0367
Phone (661) 253-1353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1740580703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910310367",
            "telephone_number": "661-253-1353",
            "fax_number": "661-253-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD",
            "address_2": "SUITE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555601",
            "telephone_number": "661-253-1353",
            "fax_number": "661-253-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR ENRIQUEZ, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-435-4450",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.