Active NPI
Eduardo Limon Lugo, D.D.S.
- Dentist
- San Diego, CA
National Provider Identifier
1124156492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32123
- Practice address
- 995 Gateway Center Way
301
San Diego, CA 92102-4500 - Phone
- (619) 263-6648
- Fax
- (619) 263-9353
- NPI assigned
- Mar 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32123 | CA | Primary |
Addresses
Primary practice location
995 Gateway Center Way
301
San Diego, CA 92102-4500
Mailing address
3452 Aliso Dr
Bonita, CA 91902
Phone (619) 434-1235
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32123 | CA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Robinson, D.D.S. a Professional Dental Corporation | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- San Diego, CA
- NPI 1285702290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124156492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3452 ALISO DR",
"city": "BONITA",
"state": "CA",
"postal_code": "91902",
"telephone_number": "619-434-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 GATEWAY CENTER WAY",
"address_2": "301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024500",
"telephone_number": "619-263-6648",
"fax_number": "619-263-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO",
"first_name": "EDUARDO",
"middle_name": "LIMON",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "32123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.