Individual provider Active NPI

Lorraine C Uytingco, M.D

  • Family Medicine Physician
  • Turlock, CA
National Provider Identifier
1710079967
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C50496 Issued in CA
Practice address
1145 Geer Rd
Suite a
Turlock, CA 95380-3381
Phone
(209) 620-3013
Fax
(209) 634-9868
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C50496 CA Primary

Addresses

Primary practice location

1145 Geer Rd
Suite a
Turlock, CA 95380-3381

Mailing address

4241 Country Walk LN
Turlock, CA 95382-7451
Phone (209) 620-3013

Other identifiers 1

IdentifierTypeStateIssuer
00C504960MedicaidCA

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
I20040224001352 CA Practitioner - Family Practice 4385530542 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rufino M. Uytingco, M.D. a Professional Corporation Family Medicine CurrentSince Apr 1, 2008 Accepting new patients
Michael L. Brodie Family Medicine PastSince Mar 1, 2011 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1145 Geer Rd
Ste A
Turlock, CA 95380
Phone (209) 620-3013

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1710079967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 COUNTRY WALK LN",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953827451",
            "telephone_number": "209-620-3013",
            "fax_number": "209-634-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GEER RD",
            "address_2": "SUITE A",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803381",
            "telephone_number": "209-620-3013",
            "fax_number": "209-634-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYTINGCO",
        "first_name": "LORRAINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C50496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C504960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.