Centro Medico Su Salud A Professional Medical Corporation is a medicare enrolled "Family Medicine" provider in Downey, California. Their current practice location is
9449 Firestone Blvd, Downey, California. You can reach out to their office (for appointments etc.) via phone at
(562) 622-0519.
Centro Medico Su Salud A Professional Medical Corporation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Centro Medico Su Salud A Professional Medical Corporation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114377066.
Healthcare Provider's Profile
| Full Name | Centro Medico Su Salud A Professional Medical Corporation |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 9449 Firestone Blvd, Downey, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114377066
- Provider Enumeration Date: 06/21/2016
- Last Update Date: 03/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 0648555243
- Enrollment ID: O20170322001424
Medical Identifiers
Medical identifiers for Centro Medico Su Salud A Professional Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114377066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Secondary |
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | (* (Not Available)) | Secondary |
| 208C00000X | Colon & Rectal Surgery | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Centro Medico Su Salud A Professional Medical Corporation acts as a billing entity for following providers:
| Provider Name | Amrit Singh |
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| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
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| Provider Identifiers | NPI Number: 1407947393
PECOS PAC ID: 0143210849
Enrollment ID: I20040514000697 |
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| Provider Name | Gary E Ford |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1780634022
PECOS PAC ID: 4981654381
Enrollment ID: I20050124000798 |
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| Provider Name | Bharat J Patel |
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| Provider Type | Practitioner - Urology |
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| Provider Identifiers | NPI Number: 1033282827
PECOS PAC ID: 0941251730
Enrollment ID: I20050209000615 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Centro Medico Su Salud A Professional Medical Corporation is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Centro Medico Su Salud A Professional Medical Corporation
9449 Firestone Blvd,
Downey, CA 90241-5503
Ph: (213) 622-0519 | Centro Medico Su Salud A Professional Medical Corporation
9449 Firestone Blvd,
Downey, CA 90241-5503
Ph: (562) 622-0519 |
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