Brian Lugo, M.D., Medical Corp

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

A 87704 Issued in CA

Legal business name

BRIAN LUGO, M.D., MEDICAL CORP

Practice address

50 Alessandro PL
Suite 340
Pasadena, CA 91105-3149

Phone

(626) 768-4415

Fax

(626) 768-4421

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Brian Lugo, MDNPI 1497911804

Title

President

Phone

(626) 768-4415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Lugo, MD

  • Surgical Critical Care Physician
  • Pasadena, CA
  • NPI 1497911804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1184938359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50187",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150187",
            "telephone_number": "626-768-4415",
            "fax_number": "626-768-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL",
            "address_2": "SUITE 340",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053149",
            "telephone_number": "626-768-4415",
            "fax_number": "626-768-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN LUGO, M.D., MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-768-4415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A 87704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A 87704",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Linnette Brenk, CATC
• Tina Brenner, MHS, PA-C
• Brett Veltman, Psy.D., a Clinical Psychology Corporation
• Nadia Brewart, PH.D.
• Jesse Brewer
• Glenda Faye Bridges
• Tyler Bridges
• Margaret H Briggs, CCC-SLP
• Bright Tide Psychological Services
• Peter Brightman

• Surgical Critical Care Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgical Critical Care Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.

Verify at the official NPI Registry.