Individual provider Active NPI

Alfred Phiilip Luppi II, MD

  • Physical Medicine & Rehabilitation Physician
  • Coronado, CA
National Provider Identifier
1093825838
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C 36580 Issued in CA
Practice address
868 A Ave
Coronado, CA 92118-2646
Phone
(619) 435-1079
Fax
(619) 435-1079
NPI assigned
Aug 30, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X C 36580 CA Primary

Addresses

Primary practice location

868 A Ave
Coronado, CA 92118-2646

Mailing address

868 A Ave
Coronado, CA 92118-2646
Phone (619) 435-1079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36580CAMDGeneral Practice Dentistry
C 36580CAMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093825838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 A AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182646",
            "telephone_number": "619-435-1079",
            "fax_number": "619-435-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 A AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182646",
            "telephone_number": "619-435-1079",
            "fax_number": "619-435-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPPI",
        "first_name": "ALFRED",
        "middle_name": "PHIILIP",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C 36580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coronado, CA

Sources for this page

Verify at the official NPI Registry.