Individual provider Active NPI

Nicolae Tudorica, M.D.

  • Obstetrics & Gynecology Physician
  • Downey, CA
National Provider Identifier
1801022926
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A120023 Issued in CA
Practice address
9449 Imperial Hwy
Ste D432
Downey, CA 90242-2814
Phone
(929) 400-3536
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 268670 NY
Obstetrics & Gynecology Physician 207V00000X A120023 CA Primary

Addresses

Primary practice location

9449 Imperial Hwy
Ste D432
Downey, CA 90242-2814

Mailing address

9449 Imperial Hwy
Ste D432
Downey, CA 90242-2814
Phone (929) 400-3536

Other identifiers 2

IdentifierTypeStateIssuer
03590049MedicaidNY
CA169212OtherCAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150918001569 CA Practitioner - Obstetrics/Gynecology 3577870864 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120023CAMDClinical Social Worker
A120023CAMDObstetrics & Gynecology Physician
268670NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 10, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Prima Medical Foundation CurrentSince Nov 3, 2015 Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

100A Drakes Landing Rd
Ste 225
Greenbrae, CA 94904
Phone (415) 924-1214

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

651 1st St W
Ste H
Sonoma, CA 95476
Phone (707) 938-3870

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1801022926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 IMPERIAL HWY",
            "address_2": "STE D432",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422814",
            "telephone_number": "929-400-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 IMPERIAL HWY",
            "address_2": "STE D432",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422814",
            "telephone_number": "929-400-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDORICA",
        "first_name": "NICOLAE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "268670",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A120023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03590049",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CA169212",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9449 Imperial Hwy",
            "address_2": "STE D432",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.