Active NPI
Paul Frutos, DO
- Emergency Medicine Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0052668
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2745 - Phone
- (719) 584-4306
- Fax
- (719) 595-7886
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0052668 | CO | Primary |
| Emergency Medicine Physician | 207P00000X | 18713 | MS | |
| Emergency Medicine Physician | 207P00000X | 20A15347 | CA |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2745
Mailing address
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 N 1St St
Blythe, CA 92225-1702
Phone (760) 921-5123
25500 Medical Ctr Dr
Murrieta, CA 92562-5965
Phone (951) 696-6000
5451 Walnut Ave
Chino, CA 91710-2609
Phone (909) 625-5411
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.74 of 100
- Quality
- 94
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 65.12
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.35 of 100
- Quality
- 81.59
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4621 | AZ | MD | Psychologist |
| 20A15347 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ignite Emergency Physicians a Medical Corporation | Current | Accepting new patients | |
| Virtualcare Medical Group PA | Current | Accepting new patients | |
| Virtualcare Medical Services of Ny PC | Current | Accepting new patients | |
| Corona Regional Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Premier Health Partners | Emergency Medicine | Current | Accepting new patients |
| Em Alliance California, Apc | Emergency Medicine | Current | Accepting new patients |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients | |
| Hualapai Emergency Physician Partners PLLC | Emergency Medicine | Past | Accepting new patients |
| Lake Mead Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Sun City Urgent Care LLC | Past | Accepting new patients | |
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Mountain Vista Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Dana Landing Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients |
Locations
250 N 1st St
Blythe, CA 92225
Phone (760) 321-5123
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
1801 W Olympic Blvd
#2611
Pasadena, CA 91199
9449 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 252-2184
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
L4421
Columbus, OH 43260
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Organizations & group practices 23
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.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1376305755
-
- Emergency Medical Services (Emergency Medicine) Physician
- Victorville, CA
- NPI 1437918307
-
- Emergency Medicine Physician
- Blythe, CA
- NPI 1609170232
-
- Emergency Medicine Physician
- Corona, CA
- NPI 1134629298
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
-
- Family Medicine Physician
- Gaithersburg, MD
- NPI 1194308809
-
- Family Medicine Physician
- New York, NY
- NPI 1992458996
-
- Urgent Care Clinic/Center
- Avondale, AZ
- NPI 1134185671
-
- Urgent Care Clinic/Center
- Chandler, AZ
- NPI 1881650471
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1770549214
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1861458309
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
-
- General Acute Care Hospital
- Blythe, CA
- NPI 1194705202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1639228059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4306",
"fax_number": "719-595-7886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4306",
"fax_number": "719-595-7886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUTOS",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0052668",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "18713",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A15347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.