Santa Elena Medical Center, Inc.
NPI 1265617393ActiveOrganization· General Practice· Pico Rivera, CA
General Practice in Pico Rivera, California, registered in NPPES in January 2008. The authorized official on file is Richard Park, M.D., Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265617393 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2008 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other General Practice providers in Pico Rivera
- 1518684695
- 1023984028
- 1215953609
- 1235348038
- 1669670832