LA PROVIDENCIA IPA, INC. (NPI# 1760906507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760906507 |
| Entity Type | Organization |
| Organization Name | LA PROVIDENCIA IPA, INC. |
| Practice Address |
14342 Ramona Blvd Baldwin Park CA 91706-3241 |
| Practice Telephone | 5624630172 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-10-26 |
| Authorized Official Name | SAMUEL WOSK (SECRETARY) |
| Authorized Official Telephone | 5624630172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 71133 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 45086 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 56374 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
14342 RAMONA BLVD |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225129281 | Marvin E Urbina | Family Medicine | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-27 |
| 1487289849 | Karen Carrillo | Nurse Practitioner | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2020-03-06 |
| 1073147963 | Gabriella Aracely Rosil | Nurse Practitioner | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2020-02-28 |
| 1528348901 | Herman Carrillo Md | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2011-08-17 |
| 1124214341 | Herman Carrillo,m.d. & Marvin Urbina Md Proffesional Corporation | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2007-09-20 |
| 1881785814 | Herman F Carrillo | Family Medicine | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104182468 | Rao L. Atluri,md,inc | Internal Medicine | 14051 E. Ramona Parkway, Baldwin Park, CA 91706-4114 | 2012-04-11 |
| 1568796803 | Lisa Sangly Lam | Internal Medicine | 1011 Baldwin Park Blvd, Urgent Care Department, Urgent Care Department, Baldwin Park, CA 91706-5806 | 2009-09-18 |
| 1699828848 | Rao Lakshmana Atluri | Internal Medicine | 14051 E Ramona Pkwy, Baldwin Park, CA 91706 | 2007-01-19 |
| 1760423016 | Victoria N Chen | Internal Medicine | 4126 Maine Ave, Baldwin Park, CA 91706-3306 | 2006-06-09 |
| 1013515287 | Balwin Park Medical Group, Inc. | Internal Medicine | 14652 Pacific Ave, Baldwin Park, CA 91706-5333 | 2020-10-11 |
| 1972998847 | Caitlin Date | Internal Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2015-03-30 |
| 1811316979 | Jennifer Mah | Internal Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2014-04-15 |
| 1619395134 | Connie Tien Xu | Internal Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2014-04-01 |
| 1588081855 | Jenny Zhang-turner | Internal Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2014-03-25 |
| 1073748620 | Jayon Kim | Internal Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2009-05-27 |
| Find all providers in BALDWIN PARK | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
Please comment or provide details below to improve the information on LA PROVIDENCIA IPA, INC..
| 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.