NPIMap

Organization Active NPI

Ada del Rivero-Yamuy Medical Corp

Doing business as Hughes Avenue Family Medical Center

  • Primary Care Clinic/Center
  • Culver City, CA
National Provider Identifier
1760690200
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A83694 Issued in CA
Legal business name
ADA DEL RIVERO-YAMUY MEDICAL CORP
Doing business as
Hughes Avenue Family Medical Center
Practice address
3831 Hughes Ave
Suite 101
Culver City, CA 90232-2751
Phone
(310) 204-0104
Fax
(310) 204-0171
NPI assigned
May 18, 2007
Last updated
Jan 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Authorized official

Name
Ada Elena Del Rivero YamuyNPI 1275676363
Title
General Physician
Phone
(310) 204-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A83694 CA Primary

Addresses

Primary practice location

3831 Hughes Ave
Suite 101
Culver City, CA 90232-2751

Mailing address

3831 Hughes Ave.
Suite 101
Culver City, CA 90232
Phone (310) 204-0104

Other names 2

  • Hughes Avenue Family Medical Center Doing business as
  • Ada del Rivero-Yamuy Medical Corp Former legal business name

National Provider Directory

National Provider Directory

Locations

3831 Hughes Ave
Ste 101
Culver City, CA 90232
Phone (310) 204-0104

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1760690200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE.",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90232",
            "telephone_number": "310-204-0104",
            "fax_number": "310-204-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 101",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-204-0104",
            "fax_number": "310-204-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA DEL RIVERO-YAMUY MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "DEL RIVERO YAMUY",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "GENERAL PHYSICIAN",
        "authorized_official_telephone_number": "310-204-0104"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A83694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hughes Avenue Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ada del Rivero-Yamuy Medical Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 21, 2019; 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.