CENTRO MEDICO SU SALUD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1114377066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114377066 |
| Entity Type | Organization |
| Organization Name | CENTRO MEDICO SU SALUD A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
9449 Firestone Blvd Downey CA 90241-5503 |
| Practice Telephone | 5626220519 |
| Practice Fax Number | 5626220522 |
| Mailing Telephone | 2136220519 |
| Mailing Fax Number | 5626220522 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | DR. BHARAT PATEL (OWNER) |
| Authorized Official Telephone | 2136220519 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
9449 FIRESTONE BLVD |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518328442 | Mitra Brenda Kariminaser | Family Medicine | 12214 Lakewood Blvd, Downey, CA 90242-2662 | 2016-03-20 |
| 1659701787 | Maicenna Medical Group | Family Medicine | 8504 Firestone Blvd, Suite 271, Downey, CA 90241-4926 | 2013-11-27 |
| 1508131129 | Donna L. Wong, Do, Inc. | Family Medicine | 10800 Paramount Blvd., Suite 402, Downey, CA 90241-3334 | 2012-03-14 |
| 1922238112 | Paulino Antonio Equihua | Family Medicine | 7107 Nada St, Downey, CA 90242-2006 | 2009-07-22 |
| 1912146887 | Mls Clinical & Medical Corporation | Family Medicine | 8530 Florence Ave Ste 101, Downey, CA 90240-4015 | 2009-02-16 |
| 1598936023 | Ragaa Z Iskarous Md Inc. | Family Medicine | 11003 Lakewood Blvd Ste 201, Downey, CA 90241-3876 | 2008-03-12 |
| 1487711701 | Mark David Schneider | Family Medicine | 11411 Brookshire Avenue, Suite 207, Downey, CA 90241 | 2007-01-03 |
| 1952469850 | Robert James Wielenga | Family Medicine | 10835 New St, Downey, CA 90241-3714 | 2006-12-04 |
| 1184795007 | Jorge Alberto Enrique Ramirez Amaya | Family Medicine | 9449 Imperial Hwy Ste D133, Downey, CA 90242-2814 | 2006-11-13 |
| 1023119294 | William J Rubinson | Family Medicine | 11942 Paramount Blvd Ste B, Downey, CA 90242 | 2006-09-26 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.