Active NPI
Ayala Medical Corporation Inc
- Family Medicine Physician
- Pasadena, CA
National Provider Identifier
1962769539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A105436
- Legal business name
- AYALA MEDICAL CORPORATION INC
- Practice address
- 1490 Del Mar Blvd
Pasadena, CA 91106-2704 - Phone
- (626) 375-7435
- NPI assigned
- Apr 19, 2012
- 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
- Dr. Maria Virginia G Sioson Ayala, MD
- Title
- President
- Phone
- (626) 375-7435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A105436 | CA | Primary |
Addresses
Primary practice location
1490 Del Mar Blvd
Pasadena, CA 91106-2704
Mailing address
1490 E del Mar Blvd
Pasadena, CA 91106-2704
Phone (626) 375-7435
National Provider Directory
National Provider DirectoryLocations
245 E 6th St
San Jacinto, CA 92583
Phone (909) 654-2419
Interoperability endpoints
- https://api.platform.athenahealth.com/4845/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365120000000",
"number": "1962769539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1490 E DEL MAR BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062704",
"telephone_number": "626-375-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 DEL MAR BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062704",
"telephone_number": "626-375-7435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYALA MEDICAL CORPORATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2013-04-05",
"status": "A",
"authorized_official_last_name": "SIOSON AYALA",
"authorized_official_first_name": "MARIA VIRGINIA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-375-7435",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A105436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.