NPIMap

Organization Active NPI

Feliciano Navalta Jr., M.D. a Medical Corporation

  • Medical Specialty Clinic/Center
  • Paramount, CA
National Provider Identifier
1942485313
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A25135 Issued in CA
Legal business name
FELICIANO NAVALTA JR., M.D. A MEDICAL CORPORATION
Practice address
16660 Paramount Blvd
Suite 306
Paramount, CA 90723-5433
Phone
(562) 633-1404
Fax
(562) 633-3036
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Feliciano Sison Navalta Jr., M.D.
Title
Physican
Phone
(562) 633-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A25135 CA Primary

Addresses

Primary practice location

16660 Paramount Blvd
Suite 306
Paramount, CA 90723-5433

Mailing address

16660 Paramount Blvd
Suite 306
Paramount, CA 90723-5433
Phone (562) 633-1404

Other identifiers 1

IdentifierTypeStateIssuer
00A251351MedicaidCA

National Provider Directory

National Provider Directory

Locations

16660 Paramount Blvd
Ste 306
Paramount, CA 90723
Phone (562) 633-1404

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1942485313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16660 PARAMOUNT BLVD",
            "address_2": "SUITE 306",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235433",
            "telephone_number": "562-633-1404",
            "fax_number": "562-633-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16660 PARAMOUNT BLVD",
            "address_2": "SUITE 306",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235433",
            "telephone_number": "562-633-1404",
            "fax_number": "562-633-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIANO NAVALTA JR., M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "NAVALTA",
        "authorized_official_first_name": "FELICIANO",
        "authorized_official_middle_name": "SISON",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "562-633-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A25135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A251351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.