Organization Active NPI

Horacio F Ariza MD

  • Family Medicine Physician
  • Culver City, CA
National Provider Identifier
1760685515
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A20388 Issued in CA
Legal business name
HORACIO F ARIZA MD
Practice address
9808 Venice Blvd
710
Culver City, CA 90232-2732
Phone
(323) 526-9770
Fax
(661) 702-9712
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Horacio F Ariza, MD
Title
MD Owner
Phone
(323) 562-9770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A20388 CA Primary

Addresses

Primary practice location

9808 Venice Blvd
710
Culver City, CA 90232-2732

Mailing address

PO Box 176
Monterey Park, CA 91754-0176
Phone (323) 600-4901

Other identifiers 2

IdentifierTypeStateIssuer
1093802951OtherCAINDIVIDUAL NPI
A203880MedicaidCA

National Provider Directory

National Provider Directory

Locations

9808 Venice Blvd
Ste 710
Culver City, CA 90232
Phone (310) 576-0767

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760685515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917540176",
            "telephone_number": "323-600-4901",
            "fax_number": "661-702-9712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "710",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "323-526-9770",
            "fax_number": "661-702-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORACIO F ARIZA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARIZA",
        "authorized_official_first_name": "HORACIO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD   OWNER",
        "authorized_official_telephone_number": "323-562-9770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A20388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093802951",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A203880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.