NPIMap

Organization Active NPI

Huntington Specialist & Nursing Corporation

  • Hospitalist Physician
  • Monrovia, CA
National Provider Identifier
1912378324
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
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
Last updated
Jun 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Paul Demarco, NPNPI 1972512820
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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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, and the practitioner matching its NPPES authorized official.

View all 23

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.

Verify at the official NPI Registry.