EDGAR ANTONIO ENRIQUEZ (M.D.) – Surgical Oncology Physician, NPI 1376632547

EDGAR ANTONIO ENRIQUEZ (M.D.) is a healthcare provider. based in Valencia, California. specializing in GENERAL SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. A80489 (CA). The NPI Number for EDGAR ANTONIO ENRIQUEZ (M.D.) is 1376632547

Main info

Male
Sole Proprietor
26 Years Of Experience
Name
EDGAR ANTONIO ENRIQUEZ (M.D.)
NPI
1376632547
Phone
(661) 253-1353
Address
25775 MCBEAN PKWY
Enumeration Date
12 October 2006
Last Update Date
17 September 2007

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
2136232225
Graduation Year
2000 (26 years ago)
PAC ID
4486747326
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20070907000615
Address ID
CA900153316LO1120XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for EDGAR ANTONIO ENRIQUEZ (M.D.)

  • 25775, McBean Parkway, Valencia, Santa Clarita, Los Angeles County, California, 91355, United States

    SUITE 216

    VALENCIA, CA 913553708

    Phone: (661) 253-1353

    Fax: (661) 253-1387

    Type: Location

  • 1401, Monterey Road, South Pasadena, Los Angeles County, California, 91030, United States

    APT E

    SOUTH PASADENA, CA 910303845

    Phone: (310) 435-4450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $4,548.

Total Amount is formed as General ($4,548) + Research ($0) + Ownership ($0) = $4,548.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,075).

Total Amount

$4,548

General + Research + Ownership

Payments

23

Total payment records

General Amount

$4,548

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070907000615IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3326$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2718$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2016$0
View full utilization report →

Insurance plans in this area (ZIP 91355)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

What is the registry number for EDGAR ANTONIO ENRIQUEZ (M.D.)?
The registry entry for EDGAR ANTONIO ENRIQUEZ (M.D.) shows NPI 1376632547.
Is EDGAR ANTONIO ENRIQUEZ (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists EDGAR ANTONIO ENRIQUEZ (M.D.) as active.
Which specialty label fits EDGAR ANTONIO ENRIQUEZ (M.D.)?
NPPES ties EDGAR ANTONIO ENRIQUEZ (M.D.) to Surgical Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit EDGAR ANTONIO ENRIQUEZ (M.D.) in Valencia, California?
For routing, start with Valencia, California for EDGAR ANTONIO ENRIQUEZ (M.D.), then verify phone and hours locally.
Who maintains EDGAR ANTONIO ENRIQUEZ (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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