Lauro Ivan Arteaga, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13931 Issued in CA

Practice address

7418 State St
Huntington Park, CA 90255-5928

Phone

(323) 835-6298

Fax

(323) 835-6081

NPI assigned

Aug 11, 2006

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritana Medical Clinic,Inc.Group PAC ID 0749370989, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Samaritana Medical Clinic,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1073706289
  Medicare reassignment Care Compare group
• Su Salud Medical Group Inc

  • General Practice Physician
  • Huntington Park, CA
  • NPI 1104476217
  Medicare reassignment NPD
• Gerardo Canchola MD, Inc.

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1487191516
  Medicare reassignment
• Mahfouz M. Michael,M.D.,Inc.

  dba Clinica Medica San Miguel

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1093934986
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1083625081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555928",
            "telephone_number": "323-835-6298",
            "fax_number": "323-835-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555928",
            "telephone_number": "323-835-6298",
            "fax_number": "323-835-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA",
        "first_name": "LAURO",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arque TLC Inc.
• Alejandro Miguel Arredondo, O.D.
• Sandra Arredondo
• Beatriz Arreola
• Cruz Arevalo Arteaga
• Andrea Arzaga
• Keith Ascencio
• Fariba Assil, DDS
• At Home Hospice, Inc.
• Atlantic Recovery Services

• Physician Assistant in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.