Daniel Uribe MD a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42095 Issued in CA

Legal business name

DANIEL URIBE MD A PROFESSIONAL CORPORATION

Practice address

13307 San Antonio Dr
Norwalk, CA 90650-2970

Phone

(562) 807-1877

Fax

(562) 868-6795

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Uribe, MDNPI 1922049279

Title

President

Phone

(562) 807-1877

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAN MARCOS MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Daniel Uribe, MD

  • Internal Medicine Physician
  • La Habra, CA
  • NPI 1922049279
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1982880845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-807-1877",
            "fax_number": "562-868-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13307 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502970",
            "telephone_number": "562-807-1877",
            "fax_number": "562-868-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL URIBE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-807-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN MARCOS MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dan Hakjae Kim, a Professional Chiropractic Corporation
• Dan W. Lim D.D.S. Inc.
• Diana Van Dang
• Peter Dai Dang, DPM
• Daniel Uribe MD a Professional Corporation
• Shayne Daniel
• Yadira Dantzler, LCSW
• Laura J. Dardashti, MD
• Rose Darne, PA-C
• Daryoush Farahmand, MD

• Family Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.