Organization Active NPI

Ayala Medical Corporation Inc

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1962769539
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105436 Issued in CA
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

Updated by the provider on Apr 5, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

245 E 6th St
San Jacinto, CA 92583
Phone (909) 654-2419

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.