Luz Elva Tristan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A064252 Issued in CA

Practice address

401 E Birch St
Suite a
Calexico, CA 92231-4351

Phone

(760) 768-5246

Fax

(760) 768-2234

NPI assigned

Jan 22, 2007

Last updated

Aug 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luz Tristan MD Inc

  • Primary Care Clinic/Center
  • Calexico, CA
  • NPI 1801037577
  Authorized official Same address or phone
• El Centro Regional Medical Center

  dba Calexico Outpatient Center

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1598840258
  NPD (past)
• Imperial Valley Family Care Medical Group Apc

  • General Practice Physician
  • Imperial, CA
  • NPI 1275581894
  NPD (past)
• Imperial Valley Family Care Medical Group, Apc

  • Cardiac Rehabilitation Registered Nurse
  • Imperial, CA
  • NPI 1750112587
  NPD (past)
• Pioneers Memorial Healthcare District

  dba Calexico Health Center RHC

  • Rural Health Clinic/Center
  • Calexico, CA
  • NPI 1437122769
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1760536254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BIRCH ST",
            "address_2": "SUITE A",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312854",
            "telephone_number": "760-768-5246",
            "fax_number": "760-768-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BIRCH ST",
            "address_2": "SUITE A",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314351",
            "telephone_number": "760-768-5246",
            "fax_number": "760-768-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTAN",
        "first_name": "LUZ",
        "middle_name": "ELVA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A064252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A642520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Paul Thomas II, R.PH.
• Robert C Thomas, MD
• Thrifty Payless Inc (Rite Aid Pharmacy 06515)
• Luis Roberto Tirado
• Ricky Toora
• Tyson Medical Inc
• Shyam Sukumar Ullal, P.T.
• Ultramed Solutions Inc
• Maria Fernanda Vaca
• Keri Denise Valdez, MSN, FNP

• Pediatrics Physician in Calexico, CA
• Providers in Calexico, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.