Efrain Guillermo Loera Jr., LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP048604 Issued in AZ

Practice address

15802 N. Parkview Place
Dysart Unified School District
Suprise, AZ 85374

Phone

(623) 876-7063

Fax

(623) 523-8461

NPI assigned

Mar 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surprise, AZ
  • NPI 1750595369
  NPD (past)
• Dysart Unified School District

  • Local Education Agency (LEA)
  • Surpirse, AZ
  • NPI 1770625758
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1497096879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15802 N. PARK VIEW PLACE",
            "address_2": "DYSART UNIFIED SCHOOL DISTRICT",
            "city": "SUPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-876-7063",
            "fax_number": "623-523-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15802 N. PARKVIEW PLACE",
            "address_2": "DYSART UNIFIED SCHOOL DISTRICT",
            "city": "SUPRISE",
            "state": "AZ",
            "postal_code": "85374",
            "telephone_number": "623-876-7063",
            "fax_number": "623-523-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOERA",
        "first_name": "EFRAIN",
        "middle_name": "GUILLERMO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP048604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Recovery LLC
• Arjun Dhir
• Kalin Marie Harding, N.P.
• Healthcare Management Group, LLC.
• Rudrani Kotha, M.D.
• Kip Nielsen, D.M.D.
• Lorrie Marie Roberts, RDH
• Richard Allen Teschner, RPT (PHYSICAL THERAP
• Nina A Ulrich, WHNP

• All providers in Suprise, AZ
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.