Pueblo Medical Associates Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A8553 Issued in CA

Legal business name

PUEBLO MEDICAL ASSOCIATES INC.

Practice address

529 N Azusa Ave
Azusa, CA 91702-2936

Phone

(626) 334-4061

Fax

(626) 334-6828

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Hilda Flores, PA-C

Title

Office Manager

Phone

(626) 334-4061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shariar Borbor, M.D.

  • Family Medicine Physician
  • Azusa, CA
  • NPI 1477868933
  NPD

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1407033277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022936",
            "telephone_number": "626-334-4061",
            "fax_number": "626-334-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 N AZUSA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022936",
            "telephone_number": "626-334-4061",
            "fax_number": "626-334-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-334-4061",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ping-Lin Ben Chung, DDS, DMSC, Inc
• Pmed3
• Frances Antoinette Pobre, AGNP
• Jacquelyn Postell, PSY.D
• Prakash Katbamna Dental Corp. (noble dental office)
• Peter Quan
• Roberto Quintero III
• Marisa Jean Quon, MSN, APRN, FNP-BC
• Alvaro Guillermo Ramirez Jr.
• Irene Ramirez

• Primary Care Clinic/Center in Azusa, CA
• Providers in Azusa, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.