Active NPI
Maria C. Ponce, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1821046301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A85618
- Practice address
- 2208 W 7TH St
Los Angeles, CA 90057-4002 - Phone
- (213) 637-2530
- Fax
- (213) 384-3373
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A85618 | CA | Primary |
Addresses
Primary practice location
2208 W 7TH St
Los Angeles, CA 90057-4002
Mailing address
1307 W. 6TH Street
Suite 113
Corona, CA 92882-3168
Phone (951) 278-8910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A856180 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A85618 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars Towers Surgical Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1881633287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1821046301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 W. 6TH STREET",
"address_2": "SUITE 113",
"city": "CORONA",
"state": "CA",
"postal_code": "928823168",
"telephone_number": "951-278-8910",
"fax_number": "951-734-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574002",
"telephone_number": "213-637-2530",
"fax_number": "213-384-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCE",
"first_name": "MARIA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A85618",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A856180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.