Lasalle Medical Associates

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LASALLE MEDICAL ASSOCIATES

Practice address

16455 Main Street
Suite 1
Hesperia, CA 92345

Phone

(760) 947-2161

Fax

(760) 947-3673

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Albert H. Ateaga, M.D.

Title

Ceo/Owner

Phone

(909) 890-0407

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Fontana, CA
  • NPI 1275661084

  O20050506000376

  Same enrollment
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • San Bernardino, CA
  • NPI 1447388251

  O20050506000376

  Same enrollment
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Victorville, CA
  • NPI 1689130098

  O20050506000376

  Same enrollment
• Lasalle Medical Associates

  • Multi-Specialty Clinic/Center
  • Rialto, CA
  • NPI 1881150290

  O20050506000376

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Nooshin Salehi, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1053802470
  NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1316075062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W REDLANDS BLVD",
            "address_2": "2ND FLOOR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733145",
            "telephone_number": "909-890-0407",
            "fax_number": "909-890-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 MAIN STREET",
            "address_2": "SUITE 1",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "760-947-2161",
            "fax_number": "760-947-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASALLE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "ATEAGA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "909-890-0407",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079092",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID NUMBER",
            "identifier": "00A382060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE UPIN",
            "identifier": "P00226162",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Laborico
• Labworxs Inc. (Imaging Du)
• Tien Thuy Lam, DDS
• Monique Landrum
• Maria Adela Lara
• Helen Le
• My T Le
• Brianna Leal
• Magdi Adnan Lebadah, PHARM D
• Coretta T Leduff, LVN

• Multi-Specialty Clinic/Center in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.