Active NPI
Lisa P. Uribe, M.D., Inc.
- Internal Medicine Physician
- Pasadena, CA
National Provider Identifier
1164766093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A97604
- Legal business name
- LISA P. URIBE, M.D., INC.
- Practice address
- 800 Fairmount Ave
Suite 210
Pasadena, CA 91105-3150 - Phone
- (626) 243-2221
- NPI assigned
- Nov 15, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Uribe, M.D.
- Title
- President
- Phone
- (626) 243-2221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A97604 | CA | Primary |
Addresses
Primary practice location
800 Fairmount Ave
Suite 210
Pasadena, CA 91105-3150
Mailing address
800 Fairmount Ave
Suite 210
Pasadena, CA 91105-3150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2050 Huntington Dr
South Pasadena, CA 91030
Phone (818) 398-5757
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Pasadena, CA
- NPI 1770762528
-
- Internal Medicine Physician
- South Pasadena, CA
- NPI 1841374642
-
- Addiction Medicine (Internal Medicine) Physician
- South Pasadena, CA
- NPI 1871677724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546646400000",
"number": "1164766093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 FAIRMOUNT AVE",
"address_2": "SUITE 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 FAIRMOUNT AVE",
"address_2": "SUITE 210",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053150",
"telephone_number": "626-243-2221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA P. URIBE, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2019-01-05",
"status": "A",
"authorized_official_last_name": "URIBE",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-243-2221",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A97604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.