Las Colinas Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A33235 Issued in CA

Legal business name

LAS COLINAS MEDICAL GROUP, INC.

Practice address

2820 Alum Rock Ave Ste 20
San Jose, CA 95127-5608

Phone

(408) 729-2900

Fax

(408) 254-9090

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alfredo Ramirez, M.D.

Title

M.D.

Phone

(408) 729-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1114944923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 ALUM ROCK AVE STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951275608",
            "telephone_number": "408-729-2900",
            "fax_number": "408-254-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ALUM ROCK AVE STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951275608",
            "telephone_number": "408-729-2900",
            "fax_number": "408-254-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS COLINAS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "408-729-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A33235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Larsen
• Dale G Larson, PHD
• Kathy Lynn Larson, RRT
• Natalie Rose Larson, MA
• Riley Larson
• Luana Lascala
• Boluwatife Laseinde
• Stephanie Lynnette Lasher, R.D.
• Jose Lasquety
• Lassenpark Villa Inc

• Primary Care Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.