NPIMap

Individual provider Active NPI

Jose F Torreblanca, DO

  • Pediatrics Physician
  • South Gate, CA
National Provider Identifier
1871619346
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A10109 Issued in CA
Practice address
10001 California Ave
South Gate, CA 90280-6005
Phone
(323) 564-4408
Fax
(323) 564-9641
NPI assigned
Mar 22, 2007
Last updated
Dec 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A10109 CA Primary
General Practice Physician 208D00000X 20A10109 CA

Addresses

Primary practice location

10001 California Ave
South Gate, CA 90280-6005

Mailing address

10001 California Ave
South Gate, CA 90280-6005
Phone (323) 564-4408

Other identifiers 3

IdentifierTypeStateIssuer
100513361MedicaidNV
0AX101090MedicaidCA
1871619346OtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000019 CA Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Family Practice 5193801769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice, General Practice
Education
West Virginia School of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Martin de Porres Medical Clinic of South Gate IncGroup PAC ID 3971539941, 2 clinicians
Jose Torreblanca MD IncGroup PAC ID 2062638323, 3 clinicians

Practice addresses (Care Compare)

10001 California Ave
South Gate, CA 90280-6005
Phone (323) 564-4408

7128 Seville Ave
Huntington Park, CA 90255-4906
Phone (323) 588-2186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41327CAMDPharmacotherapy Pharmacist
20A10109CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Torreblanca MD Inc. Pediatrics CurrentSince Apr 19, 2014 Accepting new patients
San Martin de Porres Medical Clinic of South Gate, Inc General Practice CurrentSince Jul 1, 2009 Accepting new patients
Torreblanca Medical Clinic Incorporated PastSince Jul 1, 2009 Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

7128 Seville Ave
Huntington Pk, CA 90255
Phone (213) 588-2186

10001 California Ave
South Gate, CA 90280
Phone (323) 564-4408

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1871619346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 CALIFORNIA AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902806005",
            "telephone_number": "323-564-4408",
            "fax_number": "323-564-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREBLANCA",
        "first_name": "JOSE",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A10109",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A10109",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100513361",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AX101090",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1871619346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.