Las Palmas Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G57022 Issued in CA

Legal business name

LAS PALMAS MEDICAL GROUP

Doing business as

Valley Immediate Care

Practice address

1540 E Valley Pkwy
Escondido, CA 92027-2316

Phone

(760) 621-4902

Fax

(760) 400-0012

NPI assigned

Feb 9, 2011

Last updated

Feb 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Mena

Title

Office Manager

Phone

(760) 480-4747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Immediate Care Doing business as

Tax ID family

Las Palmas Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Las Palmas Medical Group

  • General Practice Physician
  • Hemet, CA
  • NPI 1164503652
  NPD tax ID
• Las Palmas Medical Group Corp.

  • General Practice Physician
  • Ontario, CA
  • NPI 1013214568
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Baldwin

  • Medical Physician Assistant
  • Escondido, CA
  • NPI 1649692369
  NPD (past)

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1063718930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272316",
            "telephone_number": "760-621-4902",
            "fax_number": "760-400-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272316",
            "telephone_number": "760-621-4902",
            "fax_number": "760-400-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS PALMAS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-480-4747"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G57022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164503652",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770663551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angel Lara
• Daisy Arroyo Lara, PPS
• Aida Olivia Lares
• Philip Edward Larkins, D.P.M.
• Annalisa Larm, RD
• Las Palmas Medical Group (Valley Immediate Care)
• Las Villas del Norte Operations, LLC
• Angelique Lasic
• Alan L. Lasnover, M.D.
• Emi Misao Latham, M.D.

• General Practice Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.