Lally Medical Group, a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LALLY MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

5050 San Bernardino St
Montclair, CA 91763-2326

Phone

(909) 464-8604

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

James M Lally, DO

Title

President

Phone

(909) 464-9675

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Mario Corona, P-A

  • Medical Physician Assistant
  • West Covina, CA
  • NPI 1073830089
  NPD

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1407306772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SAN BERNARDINO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 SAN BERNARDINO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632326",
            "telephone_number": "909-464-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LALLY MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-464-9675",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407306772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Katrina Lacuesta
• Juan Antonio Ladinez
• Lady of Joy Hospice Inc
• Caden Thomas Lage
• Gale Estelle Laidlaw, FNP-C
• Brian Binh Lam, PHARM. D
• Lina Lam
• Norman L. Lamberty, M.D.
• Michael Thomas Lance, P.A.-C
• Evelyn Landa

• Family Medicine Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.