Organization Active NPI

Satish K. Lal MD a Professinal Corporation

  • Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1659554103
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34462
Legal business name
SATISH K. LAL MD A PROFESSINAL CORPORATION
Practice address
10841 White Oak Ave
Suite 100
Rancho Cucamonga, CA 91730-3811
Phone
(909) 989-4002
Fax
(909) 989-4004
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Satish Kumar Lal
Title
President
Phone
(909) 949-6534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A34462 Primary

Addresses

Primary practice location

10841 White Oak Ave
Suite 100
Rancho Cucamonga, CA 91730-3811

Mailing address

10841 White Oak Ave
Suite 100
Rancho Cucamonga, CA 91730-3811
Phone (909) 989-4002

Other identifiers 3

IdentifierTypeStateIssuer
008257250OtherMEDICARE
JR0101740OtherMEDICAL
330024674OtherCORPORATE

National Provider Directory

National Provider Directory

Locations

10841 White Oak Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 989-3155

525 N 13th Ave
Ste B
Upland, CA 91786
Phone (909) 949-6534

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1659554103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-989-4002",
            "fax_number": "909-989-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-989-4002",
            "fax_number": "909-989-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATISH K. LAL MD A PROFESSINAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LAL",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-949-6534",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "A34462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "008257250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "JR0101740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE",
            "identifier": "330024674",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.