Antonio Hurtado Rodriguez M.D., a Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A109646 Issued in CA

Legal business name

ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION

Practice address

630 N Park Ave
Pomona, CA 91768-3621

Phone

(909) 622-3700

Fax

(909) 622-3744

NPI assigned

Sep 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Hurtado Rodriguez, M.D.NPI 1255587820

Title

Ceo

Phone

(909) 622-3700

Specialties & licenses 1

Addresses

Other names 1

• Antonio Hurtado Rodriguez, M.D., A Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Antonio Hurtado Rodriguez, MD

  • General Practice Physician
  • Pomona, CA
  • NPI 1255587820
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580601600000",
    "number": "1891003869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-622-3700",
            "fax_number": "909-622-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683621",
            "telephone_number": "909-622-3700",
            "fax_number": "909-622-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO HURTADO RODRIGUEZ M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "HURTADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-622-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A109646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antonio Hurtado Rodriguez, M.D., A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Antonio Hurtado Rodriguez, M.D., A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cameron Shahzada Ansari, DO (STUDENT)
• Rose Anserlian, PA-C
• Anthony D. Nguyen, DDS, Inc
• Felix Anthony
• Odilia Fe Anthony
• Marguret Antwi-Coney
• Hannah Anvari
• Maria Luisa Anzaldo
• Jessica Aparicio
• Veronica Aparicio

• Primary Care Clinic/Center in Pomona, CA
• Providers in Pomona, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.