Organization Active NPI

Lodespoto Medical of California PC

  • Neuroradiology Physician
  • Irvine, CA
National Provider Identifier
1043722374
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
G89396 Issued in CA
Legal business name
LODESPOTO MEDICAL OF CALIFORNIA PC
Practice address
19800 Macarthur Blvd Ste 300
Irvine, CA 92612-2479
Phone
(631) 446-4700
Fax
(888) 972-3585
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Lodespoto, MD
Title
Owner
Phone
(631) 446-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0700X G89396 CA Primary

Addresses

Primary practice location

19800 Macarthur Blvd Ste 300
Irvine, CA 92612-2479

Mailing address

PO Box 958
Port Jefferson Station, NY 11776-0811

National Provider Directory

National Provider Directory

Locations

1519 Garces Hwy
Ste 101
Delano, CA 93215
Phone (661) 720-9600

19800 MacArthur Blvd
Ste 3
Irvine, CA 92612
Phone (949) 732-0885

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1043722374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122479",
            "telephone_number": "631-446-4700",
            "fax_number": "888-972-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LODESPOTO MEDICAL OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-446-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "G89396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.