Active NPI
Roberto T Unguez, MD
- Cardiovascular Disease Physician
- Carson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G11040
- Practice address
- 164 W Carson St
Carson, CA 90745-2601 - Phone
- (310) 518-3054
- Fax
- (310) 835-1366
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G11040 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | G11040 | CA | Primary |
Addresses
Primary practice location
164 W Carson St
Carson, CA 90745-2601
Mailing address
2550 Pacific Coast Hwy
#44
Torrance, CA 90505-7726
Phone (310) 944-5632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G110400 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11040 | CA | MD | Mental Health Counselor |
| G11040 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Memorial Medical Center | Current | Accepting new patients | |
| Torrance Memorial Medical Center | Current | Accepting new patients | |
| Cor Healthcare Medical Associates | Internal Medicine | Current | Accepting new patients |
Locations
1360 W 6th St
Ste 315
San Pedro, CA 90732
Phone (310) 547-9922
3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675
22617 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 370-4700
2841 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 257-0508
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1699864215
-
- Diagnostic Radiology Physician
- Torrance, CA
- NPI 1477502797
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1780787283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 PACIFIC COAST HWY",
"address_2": "#44",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905057726",
"telephone_number": "310-944-5632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 W CARSON ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907452601",
"telephone_number": "310-518-3054",
"fax_number": "310-835-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGUEZ",
"first_name": "ROBERTO",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G11040",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G11040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G110400",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.