Organization Active NPI

Frank D. Utzurrum, MD Inc

  • Pulmonary Disease Physician
  • Upland, CA
National Provider Identifier
1245251107
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A31438 Issued in CA
Legal business name
FRANK D. UTZURRUM, MD INC
Practice address
99 N San Antonio Ave
Ste. 370
Upland, CA 91786-4579
Phone
(909) 946-6342
Fax
(909) 946-6784
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Frank D Utzurrum, MD
Title
President
Phone
(909) 946-6342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X A31438 CA Primary

Addresses

Primary practice location

99 N San Antonio Ave
Ste. 370
Upland, CA 91786-4579

Mailing address

99 N San Antonio Ave
Ste. 370
Upland, CA 91786-4579
Phone (909) 946-6342

Other identifiers 1

IdentifierTypeStateIssuer
756291224OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1101 N Euclid Ave
Ste B
Upland, CA 91786
Phone (909) 579-0963

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1245251107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE",
            "address_2": "STE. 370",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864579",
            "telephone_number": "909-946-6342",
            "fax_number": "909-946-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE",
            "address_2": "STE. 370",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864579",
            "telephone_number": "909-946-6342",
            "fax_number": "909-946-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK D. UTZURRUM, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "UTZURRUM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-946-6342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A31438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "756291224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.