Active NPI
Huntington Specialist & Nursing Corporation
- Hospitalist Physician
- Monrovia, CA
National Provider Identifier
1912378324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- HUNTINGTON SPECIALIST & NURSING CORPORATION
- Practice address
- 517 S Myrtle Ave
101
Monrovia, CA 91016-2825 - Phone
- (626) 408-5927
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Demarco, NP
- Title
- Owner
- Phone
- (626) 408-5927
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
517 S Myrtle Ave
101
Monrovia, CA 91016-2825
Mailing address
PO Box 1849
Monrovia, CA 91017-5849
Phone (626) 408-5927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151209000956 | CA | Part B Supplier - Clinic/Group Practice | 8820399264 |
Receives reassigned benefits from 23 practitioners Practice locations: Chino, CA; Rosemead, CA; Monrovia, CA |
National Provider Directory
National Provider DirectoryLocations
4619 Rosemead Blvd
#M
Rosemead, CA 91770
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Artesia, CA
- NPI 1093450876
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592179200000",
"number": "1912378324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910175849",
"telephone_number": "626-408-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 S MYRTLE AVE",
"address_2": "101",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162825",
"telephone_number": "626-408-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTINGTON SPECIALIST & NURSING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-12",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A",
"authorized_official_last_name": "DEMARCO",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-408-5927",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.