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MR. FRANCISCO J CORREA M.D.
NPI 1164580783
Family Medicine in San Pedro, CA

Active since December 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2157566 · Waiver
1350 W 6TH ST, STE 3, SAN PEDRO, CA 90732(310) 241-1000(310) 227-8225 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Francisco J Correa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. FRANCISCO J CORREA M.D. (NPI 1164580783) is an individual family medicine provider in San Pedro, California, licensed in California (A73565) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 6, 2026, and is a graduate of Michigan State University College Of Human Medicine (1998).

NPPES Registry Identity

NPI1164580783
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. FRANCISCO J CORREACredential: M.D.
Location Address1350 W 6TH ST, STE 3San Pedro, CA 90732-3583
Mailing Address1350 W 6th St, Ste 3San Pedro, CA 90732-3583 · (310) 241-1000 · Fax (310) 227-8225
Phone(310) 241-1000
Fax(310) 227-8225
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 1998
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 27, 2016
✔ NPI 1164580783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A73565
Definition
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.
1350 W 6TH ST, San Pedro, CA 90732
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Other Identifiers 1

Medicare UPINI24611CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Francisco J Correa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779534979
PECOS Enrollment IDI20050204000477
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2157566

Francisco K Correa MD Inc · San Pedro, CA
Active · expires Nov 6, 2026
CLIA Number05D2157566
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorFrancisco Correa
Laboratory Phone(310) 241-1000
Laboratory LocationFrancisco K Correa MD Inc1350 W. 6th Street Suite 3, San Pedro, CA 90732
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
289 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services30 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
30 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims76 services$3.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK PEREZ MD
Family Medicine
1350 W 6TH ST, 2ND FLOOR #7
SAN PEDRO, CA 90732
Los Angeles County (310) 832-1126
MS. LINDA CARRIE MARTIN MEDICAL SKIN CARE SP
Specialist
1350 W 6TH ST
SAN PEDRO, CA 90732
Los Angeles County (310) 308-1695
NIMSHA THAVER, D.O PC
Family Medicine
1350 W 6TH ST, SECOND FLOOR, SUITE 7
SAN PEDRO, CA 90732
Los Angeles County (310) 802-3219
RICHARD C. SMITH, M.D. A PROFESSIONAL CORPORATION
Specialist
1350 W 6TH ST, SUITE 2
SAN PEDRO, CA 90732
Los Angeles County (310) 833-2428
RICHARD CHARLES SMITH M.D.
Orthopaedic Surgery
1350 W 6TH ST, SUITE 2
SAN PEDRO, CA 90732
Los Angeles County (310) 833-2428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Francisco Correa's NPI number?

The NPI number for Francisco Correa is 1164580783. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Francisco Correa located?

Francisco Correa practices at 1350 W 6th St Ste 3, San Pedro, CA 90732. The listed phone number is (310) 241-1000.

What is Francisco Correa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francisco Correa enrolled in Medicare?

Yes. Francisco Correa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Francisco Correa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2157566) is associated with this NPI, valid through November 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Francisco Correa was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.