Individual provider Active NPI

Paul Frutos, DO

  • Emergency Medicine Physician
  • Pueblo, CO
National Provider Identifier
1639228059
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0052668 Issued in CO
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

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002731 CA Practitioner - Emergency Medicine 3476534256 Reassigns benefits to 6 organizations

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
Premier Health PartnersGroup PAC ID 1759564396, 20 clinicians
Em Alliance California ApcGroup PAC ID 1951749894, 68 clinicians
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

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 100Reported as group
Quality
94
Promoting interoperability
92
Improvement activities
40
Cost
65.12

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
81.59
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4621AZMDPsychologist
20A15347CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients
Virtualcare Medical Group PA CurrentSince May 1, 2022 Accepting new patients
Virtualcare Medical Services of Ny PC CurrentSince May 1, 2022 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Premier Health Partners Emergency Medicine CurrentSince Sep 29, 2025 Accepting new patients
Em Alliance California, Apc Emergency Medicine CurrentSince Aug 1, 2024 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.

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.