Michael J Lugtu Ddsinc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42851 Issued in CA

Legal business name

MICHAEL J LUGTU DDSINC.

Doing business as

San Remo Dental

Practice address

15122 Paramount Blvd
Paramount, CA 90723-4337

Phone

(562) 630-2222

Fax

(562) 630-4690

NPI assigned

Feb 7, 2007

Last updated

Aug 22, 2020By 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

Michael J Lugtu, DDSNPI 1104970383

Title

President

Phone

(562) 630-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Remo Dental Doing business as

Tax ID family

Michael J Lugtu DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael J Lugtu DDS Inc.

  dba San Remo Dental

  • General Practice Dentistry
  • El Monte, CA
  • NPI 1740323310
  NPD tax ID

Locations

Practitioners 2

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.

• Michael Jerry Lugtu, DDS

  • Dentist
  • Paramount, CA
  • NPI 1104970383
  NPD (past) Authorized official
• Jocelyn Simbol Lugtu, DDS

  • Dentist
  • Paramount, CA
  • NPI 1639223803
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447390711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234337",
            "telephone_number": "562-630-2222",
            "fax_number": "562-630-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234337",
            "telephone_number": "562-630-2222",
            "fax_number": "562-630-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J LUGTU DDSINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUGTU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-630-2222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "G-92283-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Remo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Group of Paramount, Inc. (Clinica Medica Hispana Medical Corp.)
• Nasser Z Mehrizi, M.D.
• Jacqueline Merida
• Jesus Ramon Merino, O.D.
• MG Integrity Corporation Inc (Hope Medical Transportation)
• Ming-Yi Yen M D a Professional Corporation
• Mohammad Ismail MD Inc
• Mohammad Riaz MD Incorporated (Mercy Medical Center)
• Martha Amparo Montelongo, LVN
• Jessica Celene Montes, MSNA, CRNA

• General Practice Dentistry in Paramount, CA
• Providers in Paramount, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.