Individual provider Active NPI

Jose R. Pilpa, MD

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1760439012
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41431 Issued in CA
Practice address
1433 W Merced Ave Ste 112
West Covina, CA 91790-3402
Phone
(626) 473-0320
Fax
(626) 473-0324
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41431 CA Primary

Addresses

Primary practice location

1433 W Merced Ave Ste 112
West Covina, CA 91790-3402

Mailing address

818 W Cameron Ave
West Covina, CA 91790-4136

Other practice location 1

15201 Eleventh St Ste 100
Victorville, CA 92395-3735
Phone (760) 381-8860

Other identifiers 1

IdentifierTypeStateIssuer
A41431OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Medical GRP Inc CurrentSince Feb 10, 2021 Accepting new patients
Global Mobile Medical Alliances, Inc. Family Medicine CurrentSince Mar 15, 2018 Accepting new patients
Jose R. Pilpa Inc Current Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients
Mobile Physicians Medical Allied Group Inc Family Medicine PastSince Oct 1, 2021 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Total Rehab & Medical Center, a Medical Corporation Family Medicine PastSince Mar 7, 2006 Accepting new patients
California Mobile Medical Group Inc Family Medicine PastSince Nov 19, 2023 Accepting new patients

Locations

15201 Eleventh St
Ste 100
Victorville, CA 92395
Phone (760) 381-8860

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

818 W Cameron Ave
West Covina, CA 91790
Phone (626) 264-8847

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1760439012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 112",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-473-0320",
            "fax_number": "626-473-0324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201 Eleventh St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923953735",
            "country_code": "US",
            "telephone_number": "760-381-8860",
            "fax_number": "760-381-8864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILPA",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A41431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.