Active NPI
Frank D. Utzurrum, MD Inc
- Pulmonary Disease Physician
- Upland, CA
National Provider Identifier
1245251107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A31438
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756291224 | Other | CA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.