PUEBLO MEDICAL CENTER INC
NPI 1265737043
Clinic/Center in Stanton, CA

Active since January 25, 2011
8045 CERRITOS AVE, STANTON, CA 90680(714) 828-2444(714) 816-0529 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pueblo Medical Center Inc NPPES

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

PUEBLO MEDICAL CENTER INC (NPI 1265737043) is a healthcare organization registered as a clinic/center in Stanton, California and active in the NPI registry since January 2011. The organization lists James Angelo Sharkoff, President, as its authorized official.

NPPES Registry Identity

NPI1265737043
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePUEBLO MEDICAL CENTER INC
Location Address8045 CERRITOS AVEStanton, CA 90680-2436
Mailing Address8045 Cerritos AveStanton, CA 90680-2436 · (714) 828-2444 · Fax (714) 816-0529
Fax(714) 816-0529
Organization SubpartNo
Authorized OfficialJames Angelo SharkoffPresident · (714) 828-2444
Enumeration DateJanuary 25, 2011
✔ NPI 1265737043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
8045 CERRITOS AVE, Stanton, CA 90680

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120301000415Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pueblo Medical Center Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1891893061
8045 CERRITOS AVE
Stanton, CA 90680
(714) 828-2444
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pueblo Medical Center Inc's NPI number?

The NPI number for Pueblo Medical Center Inc is 1265737043. It was assigned to this organization in the NPPES registry on January 25, 2011.

Where is Pueblo Medical Center Inc located?

Pueblo Medical Center Inc is located at 8045 Cerritos Ave, Stanton, CA 90680. The listed phone number is (714) 828-2444.

What is Pueblo Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Pueblo Medical Center Inc enrolled in Medicare?

Yes. Pueblo Medical Center Inc is registered in the Medicare PECOS enrollment system.

When is Pueblo Medical Center Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pueblo Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Pueblo Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pueblo Medical Center Inc was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.