Mariclem Palado Lao, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A53653 Issued in CA

Practice address

1700 North Waterman Avenue
San Bernardino, CA 92404-5105

Phone

(909) 883-8611

Fax

(909) 886-1798

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beaver Medical Group P C

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1649503319
  Medicare reassignment NPD
• Redlands Family Practice Medical Group Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1942482021
  Medicare reassignment NPD
• Riverside-San Bernardino County Indian Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Grand Terrace, CA
  • NPI 1174676670

  TX

  Medicare reassignment NPD
• Beaver Medical Group P C

  • Physical Therapist
  • Redlands, CA
  • NPI 1427090281
  NPD
• Cassidy Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • Vista, CA
  • NPI 1215003470
  NPD
• Centers for Family Medicine GP

  • Family Medicine Physician
  • Los Alamitos, CA
  • NPI 1467598243
  NPD
• Redlands Family Physicians Medical Associates, Inc.

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1053390997
  NPD
• Riverside-San Bernardino County Indian Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Mountain Center, CA
  • NPI 1366028086
  NPD
• Riverside-San Bernardino County Indian Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Jacinto, CA
  • NPI 1639222144
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1487624169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTH WATERMAN AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045105",
            "telephone_number": "909-883-8611",
            "fax_number": "909-886-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORTH WATERMAN AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045105",
            "telephone_number": "909-883-8611",
            "fax_number": "909-886-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAO",
        "first_name": "MARICLEM",
        "middle_name": "PALADO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A536530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wandalyn Lane, MA
• Allegra Lange
• Hannah Langenhorst
• Margaret Anne Lanier
• Justin Lao, PT
• Cecil Caguioa Laqui, M.D.
• Armando Jerry Lara
• Carmen Lucila Lara
• Valeria Sophia Lara, LCSW
• Brenda Jacqueline Larios-Arias

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, 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 Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.