Individual provider Active NPI

Frankie D Utzurrum, M.D.

  • Pulmonary Disease Physician
  • Upland, CA
National Provider Identifier
1053505982
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A31438 Issued in CA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A314380MedicaidCA

Other names 1

  • Dr. Frank D Utzurrum Professional name

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.