Active NPI
Frankie D Utzurrum, M.D.
- Pulmonary Disease Physician
- Upland, CA
National Provider Identifier
1053505982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A31438
- Practice address
- 99 N San Antonio Ave
Suite 370
Upland, CA 91786-4579 - Phone
- (909) 946-6342
- NPI assigned
- Sep 4, 2007
- Last updated
- Mar 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A31438 | CA | Primary |
Addresses
Primary practice location
99 N San Antonio Ave
Suite 370
Upland, CA 91786-4579
Mailing address
99 N San Antonio Ave
Suite 370
Upland, CA 91786-4579
Phone (909) 946-6342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A314380 | Medicaid | CA |
Other names 1
- Dr. Frank D Utzurrum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primecare Medical Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Tampa, FL
- NPI 1093720427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1053505982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N SAN ANTONIO AVE",
"address_2": "SUITE 370",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864579",
"telephone_number": "909-946-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N SAN ANTONIO AVE",
"address_2": "SUITE 370",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864579",
"telephone_number": "909-946-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTZURRUM",
"first_name": "FRANKIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A31438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A314380",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "FRANK",
"last_name": "UTZURRUM",
"middle_name": "D",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.