Lizarraga Medical Clinic Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LIZARRAGA MEDICAL CLINIC INC.

Practice address

895 W Valley Blvd
Colton, CA 92324-2001

Phone

(909) 824-3389

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Juan Fernando Lizarraga, M.D.

Title

MD/Owner

Phone

(562) 405-6299

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lizarraga Medical Clinic Inc. Doing business as

Locations

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1124519855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 S EUCLID ST STE 104",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928023141",
            "telephone_number": "714-539-2200",
            "fax_number": "714-539-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242001",
            "telephone_number": "909-824-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZARRAGA MEDICAL CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2021-07-15",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "LIZARRAGA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "562-405-6299",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A49181",
            "identifier": "1417126764",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lizarraga Medical Clinic Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lizarraga Medical Clinic Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal A Little
• Enriqueta Little
• Kiara A Littlejohn
• Kathryn Jane Liverman
• Lizarraga Medical Center Inc
• Juan Fernando Lizarraga, M.D.
• Llpmg Colton
• Colin Lo, DO
• Esther Y Lo, N.P.
• Kuang-Chih Lo, D.O.

• Primary Care Clinic/Center in Colton, CA
• Providers in Colton, 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 Jul 15, 2021; 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.