Michael J Lugtu DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42851 Issued in CA

Legal business name

MICHAEL J LUGTU DDS INC.

Practice address

9251 Garvey Ave
Suite D
El Monte, CA 91733-4609

Phone

(626) 279-7717

Fax

(626) 279-7977

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Michael J Lugtu, DDS

Title

President

Phone

(626) 279-7717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• San Remo Dental Doing business as

Tax ID family

Michael J Lugtu DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Michael J Lugtu Ddsinc.

  • General Practice Dentistry
  • Paramount, CA
  • NPI 1447390711
  NPD tax ID

Locations

Practitioners 1

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

• Tim Diato Encarnacion, DDS

  • Dentist
  • South El Monte, CA
  • NPI 1891848248
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740323310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 GARVEY AVE",
            "address_2": "SUITE D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334609",
            "telephone_number": "626-279-7717",
            "fax_number": "626-279-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9251 GARVEY AVE",
            "address_2": "SUITE D",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917334609",
            "telephone_number": "626-279-7717",
            "fax_number": "626-279-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J LUGTU DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUGTU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-279-7717",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "G-92283-02",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Remo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Anette Meyer, PPS
• Liliana Meza
• Ritchie Meza, LCSW
• Sonia E Meza
• Kyaw Kyaw MG, DDS
• Michele S Colon DPM a Professional Podiatry Corp
• Mid-Wilshire Health Care Center
• Miguel Dominguez MD, a Professional Corporation
• Alana Elizabeth Miller
• Tami Miller

• General Practice Dentistry in El Monte, CA
• Providers in El Monte, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.