NPIMap

Organization Active NPI

Larry C Hughes MD Inc a Medical Corporation

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1861546681
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59842 Issued in CA
Legal business name
LARRY C HUGHES MD INC A MEDICAL CORPORATION
Practice address
4020 W Florida Ave
Hemet, CA 92545-5279
Phone
(951) 925-9565
NPI assigned
Jan 22, 2007
Last updated
Dec 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. Larry C Hughes, M.D.NPI 1417033291
Title
Owner
Phone
(951) 925-9565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G59842 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X G59842 CA
Adult Medicine Physician 207QA0505X G59842 NU
Sports Medicine (Family Medicine) Physician 207QS0010X G59842 NU

Addresses

Primary practice location

4020 W Florida Ave
Hemet, CA 92545-5279

Mailing address

4020 W Florida Ave
Hemet, CA 92545-5279
Phone (951) 925-9565

Other identifiers 5

IdentifierTypeStateIssuer
00G598420MedicaidCA
00G598421MedicaidCA
1679659254OtherCARENDERING LINK NPI
080022933OtherRAILROAD MEDICARE
ZZZ30159ZOtherCAMPTANGRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150112000950 CA Part B Supplier - Clinic/Group Practice 8426372988 Receives reassigned benefits from 6 practitioners
Practice locations: Hemet, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1861546681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-925-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925455279",
            "telephone_number": "951-925-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY C HUGHES MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-925-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "G59842",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": "G59842",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": "G59842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G598420",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G598421",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING LINK NPI",
            "identifier": "1679659254",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080022933",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPTANGRP",
            "identifier": "ZZZ30159Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.