Azucena Porral, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A25493 Issued in CA

Practice address

5546 Rosemead Blvd Ste 102
Temple City, CA 91780-1855

Phone

(626) 285-9600

Fax

(626) 285-2214

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ahmc Garfield Medical Center LP

  dba Garfield Medical Center

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  NPD (past)
• Ahmc Greater El Monte Comm Hosp LLC

  dba Greater El Monte Comm Hosp

  • Community/Retail Pharmacy
  • South El Monte, CA
  • NPI 1922115526
  NPD (past)
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabriel Valley Medical Center

  • Skilled Nursing Facility
  • San Gabriel, CA
  • NPI 1710174818
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881793743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5546 ROSEMEAD BLVD STE 102",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801855",
            "telephone_number": "626-285-9600",
            "fax_number": "626-285-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5546 ROSEMEAD BLVD STE 102",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917801855",
            "telephone_number": "626-285-9600",
            "fax_number": "626-285-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAL",
        "first_name": "AZUCENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A25493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS STATE LICENSE",
            "identifier": "A25493",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A254930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine Pham, PT, DPT
• Lily Phong, PHARMD
• Phyllis a. Weinstein DPM, Inc.
• Deanne Piekarsa
• Lily Pui Fun Poon, DDS
• Portable Dental Diagnostic Services
• Pregnancy Help Center of San Gabriel Valley, Inc.
• Promote Chinese Medicine & Acupuncture, Inc.
• Elizabeth Ren Qi, PHARMD
• Chau Quach, RPH

• Pediatric Adolescent Medicine Physician in Temple City, CA
• Providers in Temple City, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.