Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Virgilio Custodio Panganiban, MD

Individual provider Family Medicine Physician · NPI 1114900610

Dr. Virgilio Custodio Panganiban, MD is a Family Practice in Bellflower, California. Qualified in 1970, 56 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
56
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16704 Clark Ave
Bellflower, CA 90706-5204
Phone: (562) 925-7033
Fax: (562) 867-8123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A34146 (CA)

Record details

NPI number1114900610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 29, 2005
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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