Organization Active NPI

Nuria F. Pleitez, M.D., Inc.

  • General Practice Physician
  • Covina, CA
National Provider Identifier
1700181799
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A40248 Issued in CA
Legal business name
NURIA F. PLEITEZ, M.D., INC.
Practice address
430 W Badillo St
Covina, CA 91723-1829
Phone
(626) 859-2851
Fax
(626) 859-0341
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Dr. Nuria F Pleitez, M.D,NPI 1942361332
Title
Medical Doctor
Phone
(626) 859-2851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X A40248 CA Primary

Addresses

Primary practice location

430 W Badillo St
Covina, CA 91723-1829

Mailing address

430 W Badillo St
Covina, CA 91723-1829
Phone (626) 859-2851

Other identifiers 1

IdentifierTypeStateIssuer
00A402481MedicaidCA

Other names 1

  • Pleitez Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209001082 CA Part B Supplier - Clinic/Group Practice 9335329226 Receives reassigned benefits from 1 practitioner
Practice locations: Covina, CA

National Provider Directory

National Provider Directory

Locations

430 W Badillo St
Covina, CA 91723
Phone (626) 859-2851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1700181799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231829",
            "telephone_number": "626-859-2851",
            "fax_number": "626-859-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231829",
            "telephone_number": "626-859-2851",
            "fax_number": "626-859-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURIA F. PLEITEZ, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "PLEITEZ",
        "authorized_official_first_name": "NURIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "626-859-2851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleitez Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.