Pico Rivera Community Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PICO RIVERA COMMUNITY MEDICAL CLINIC INC

Practice address

4705 Durfee Ave
Pico Rivera, CA 90660-2037

Phone

(562) 692-0621

Fax

(562) 695-0660

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Claudia Hernandez, M.D.NPI 1518006550

Title

Owner/Partner

Phone

(562) 692-0621

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudia Hernandez, MD

  • Family Medicine Physician
  • Pico Rivera, CA
  • NPI 1518006550
  Medicare reassignment NPD Authorized official
• Maria Christina Hernandez, M.D

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1316135742
  NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1841232394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 DURFEE AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602037",
            "telephone_number": "562-692-0621",
            "fax_number": "562-695-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 DURFEE AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602037",
            "telephone_number": "562-692-0621",
            "fax_number": "562-695-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICO RIVERA COMMUNITY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "562-692-0621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolcita C Perez, LVN
• Jessenia Yvette Perilla
• Cynthia Elizabeth Peters, LPT
• Phong T. Tran DDS, Inc
• Pico Rivera Chiropractic and Sports Medicine (Premiere Chiropractic and Sports Medicine)
• Pico Rivera Gardens
• Pico Rivera Healthcare LLC (Pico Rivera Healthcare Center)
• Pico Rivera Pharmacy Inc (Pico Rivera Pharmacy)
• Pico Rivera Womens and Children Inc
• Mauricio Pineda, RDA III

• Family Medicine Physician in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.