Individual provider Active NPI

Edward Cardenas, M.D.

  • Family Medicine Physician
  • Compton, CA
National Provider Identifier
1801327630
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160903 Issued in CA
Practice address
135 E Compton Blvd
Compton, CA 90220-2410
Phone
(424) 296-3800
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A160903 CA Primary

Addresses

Primary practice location

135 E Compton Blvd
Compton, CA 90220-2410

Mailing address

135 E Compton Blvd
Compton, CA 90220-2410
Phone (909) 638-9198

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecardenas@direct.mlkch.org

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
I20200831003051 CA Practitioner - Family Practice 6901238351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin Luther King Jr Community Medical Foundation 193 clinicians

Practice addresses (Care Compare)

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160903CAMDFamily Medicine Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 1, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation Family Medicine Current Accepting new patients
Superior Hospitalist Medical Group Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

135 E Compton Blvd
Compton, CA 90220
Phone (424) 296-3800

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1801327630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902202410",
            "telephone_number": "909-638-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902202410",
            "telephone_number": "424-296-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecardenas@direct.mlkch.org",
            "affiliation": "N",
            "address_1": "135 E Compton Blvd",
            "city": "Compton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902202410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

Verify at the official NPI Registry.