Organization Active NPI

Lucia Scott Altamirano MD Corp

  • Medical Specialty Clinic/Center
  • Provo, UT
National Provider Identifier
1407038409
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
5019133-1205 Issued in UT
Legal business name
LUCIA SCOTT ALTAMIRANO MD CORP
Practice address
3685 N 100 E
Suite a
Provo, UT 84604-4594
Phone
(801) 229-1054
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Dr. Lucia Altamirano, MD
Title
President
Phone
(801) 229-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 5019133-1205 UT Primary

Addresses

Primary practice location

3685 N 100 E
Suite a
Provo, UT 84604-4594

Mailing address

3685 N 100 E
Suite a
Provo, UT 84604-4594
Phone (801) 229-1054

Other names 1

  • NEUROLOGICAL CENTER Other name

National Provider Directory

National Provider Directory

Locations

280 River Park Dr
Ste 320
Provo, UT 84604
Phone (801) 299-1014

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1407038409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 N 100 E",
            "address_2": "SUITE A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044594",
            "telephone_number": "801-229-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 N 100 E",
            "address_2": "SUITE A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044594",
            "telephone_number": "801-229-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIA SCOTT ALTAMIRANO MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "ALTAMIRANO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-229-1054",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "UT",
            "license": "5019133-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUROLOGICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.