Organization Active NPI

Premier Endocrinology Associates, LLC

Doing business as Premier Endocrinology Associates

  • Diabetes Educator Registered Nurse
  • Salem, OR
National Provider Identifier
1376925719
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
LD-D-000451 Issued in OR
Legal business name
PREMIER ENDOCRINOLOGY ASSOCIATES, LLC
Doing business as
Premier Endocrinology Associates
Practice address
960 Liberty Street SE Suite 170
Salem, OR 97302
Phone
(503) 967-4240
Fax
(503) 339-9546
NPI assigned
Jun 22, 2015
Organization subpart
Yes
Parent organization
PREMIER ENDOCRINOLOGY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Leticia M. Loarca
Title
Office Manager
Phone
(503) 967-4240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X LD-D-000451 OR
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X LD-D-000451 OR Primary

Addresses

Primary practice location

960 Liberty Street SE Suite 170
Salem, OR 97302

Mailing address

700 Bellevue St SE
Suite #290
Salem, OR 97301-3819
Phone (503) 967-4240

Other identifiers 1

IdentifierTypeStateIssuer
26956MedicaidOR

Other names 1

  • Premier Endocrinology Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Premier Endocrinology Associates LLC

Locations

960 Liberty St SE
Ste 170
Salem, OR 97302
Phone (503) 588-6633

700 Bellevue St SE
Ste 290
Salem, OR 97301
Phone (503) 399-8105

6475 SW Borland Rd
Ste L
Tualatin, OR 97062
Phone (503) 885-0164

6485 SW Borland Rd
Ste B
Tualatin, OR 97062
Phone (503) 272-8825

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376925719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BELLEVUE ST SE",
            "address_2": "SUITE #290",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013819",
            "telephone_number": "503-967-4240",
            "fax_number": "503-339-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LIBERTY STREET SE SUITE 170",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-967-4240",
            "fax_number": "503-339-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ENDOCRINOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER ENDOCRINOLOGY ASSOCIATES, LLC",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LOARCA",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-967-4240"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-000451",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "LD-D-000451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26956",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Endocrinology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.