NPIMap

Individual provider Active NPI

Marco Jesus Viruez, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1770732760
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A105548 Issued in CA
Practice address
700 North Brand Blvd
Suite 450
Glendale, CA 91203
Phone
(818) 396-8050
Fax
(818) 844-3888
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105548 CA Primary

Addresses

Primary practice location

700 North Brand Blvd
Suite 450
Glendale, CA 91203

Mailing address

700 North Brand Blvd
Suite 450
Glendale, CA 91203
Phone (818) 396-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091006000185 CA Practitioner - Internal Medicine 7719023738 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians
Sunrise Medical Associates IncGroup PAC ID 3870805823, 12 clinicians

Practice addresses (Care Compare)

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

800 S Main St
Corona, CA 92882-3420
Phone (951) 339-8459

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105548CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Group of Montebello Inc CurrentSince Feb 1, 2019 Accepting new patients
Sunrise Medical Associates Inc CurrentSince Jul 1, 2023 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 23, 2022 Accepting new patients
Im-FSR Inc. CurrentSince Jun 1, 2025 Accepting new patients
Applecare Hospitalist Medical Group, Inc. Internal Medicine Past Accepting new patients
Louay Shawesh MD Inc Internal Medicine Past Accepting new patients
Hollywood Hospitalist Medical Group, Inc. Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

250 E Rincon St
Ste 106
Corona, CA 92879
Phone (951) 339-8459

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1770732760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH BRAND BLVD",
            "address_2": "SUITE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-396-8050",
            "fax_number": "818-844-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH BRAND BLVD",
            "address_2": "SUITE 450",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-396-8050",
            "fax_number": "818-844-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRUEZ",
        "first_name": "MARCO",
        "middle_name": "JESUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.