Individual provider Active NPI

Maria Elisa Pineda Lugue, PTA

  • Physical Therapy Assistant
  • Rancho Cucamonga, CA
National Provider Identifier
1285933150
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
AT8471 Issued in CA
Practice address
13249 Firestone Dr
Rancho Cucamonga, CA 91739-2701
Phone
(909) 395-6382
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN232432 CA
Physical Therapy Assistant 225200000X AT8471 CA Primary

Addresses

Primary practice location

13249 Firestone Dr
Rancho Cucamonga, CA 91739-2701

Mailing address

13249 Firestone Dr
Rancho Cucamonga, CA 91739-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN232432CAMDLicensed Vocational Nurse
AT8471CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1285933150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13249 FIRESTONE DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13249 FIRESTONE DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392701",
            "telephone_number": "909-395-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGUE",
        "first_name": "MARIA ELISA",
        "middle_name": "PINEDA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN232432",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.