Organization Active NPI

Lori a Musto, DO

  • Adolescent Medicine (Family Medicine) Physician
  • Pacific Palisades, CA
National Provider Identifier
1184247876
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
Legal business name
LORI A MUSTO, DO
Practice address
881 Alma Real Dr Ste 110
Pacific Palisades, CA 90272-5008
Phone
(310) 454-1212
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Lori Musto, DONPI 1760467286
Title
DO
Phone
(310) 454-1212

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)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0000X Primary

Addresses

Primary practice location

881 Alma Real Dr Ste 110
Pacific Palisades, CA 90272-5008

Mailing address

881 Alma Real Dr Ste 110
Pacific Palisades, CA 90272-5008
Phone (310) 454-1212

Other identifiers 1

IdentifierTypeStateIssuer
20A6735OtherCALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@mustomedical.com Direct

National Provider Directory

National Provider Directory

Locations

881 Alma Real Dr
Ste 110
Pacific Plsds, CA 90272
Phone (310) 454-1212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1184247876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 110",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725008",
            "telephone_number": "310-454-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 ALMA REAL DR STE 110",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902725008",
            "telephone_number": "310-454-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI A MUSTO, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "MUSTO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "310-454-1212",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "20A6735",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@mustomedical.com",
            "affiliation": "N",
            "endpointDescription": "Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "881 Alma Real Dr Ste 110",
            "city": "Pacific Palisades",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902725008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pacific Palisades, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.