Clinica del Pueblo

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A48100 Issued in CA

Legal business name

CLINICA DEL PUEBLO

Practice address

10200 Main St
Lamont, CA 93241-1700

Phone

(661) 845-2399

Fax

(661) 845-1791

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Earla E Quisido, MD

Title

Owner

Phone

(661) 845-2399

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1710160049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411700",
            "telephone_number": "661-845-2399",
            "fax_number": "661-845-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411700",
            "telephone_number": "661-845-2399",
            "fax_number": "661-845-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "QUISIDO",
        "authorized_official_first_name": "EARLA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-845-2399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A481000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Cano
• Carlos a. Alvarez MD a Medical Group
• Carlos a. Alvarez, M.D., Inc
• Frank Cervantes, RN-BSN
• Clinca Sierra Vista
• Clinica del Pueblo Lamont
• Clinica del Pueblo Medical Group Corp
• Clinica Sierra Vista
• Clinica Sierra Vista
• Clinica Sierra Vista

• General Practice Physician in Lamont, CA
• Providers in Lamont, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.