Luz Tristan MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A064252 Issued in CA

Legal business name

LUZ TRISTAN MD INC

Practice address

408 E 3Rd St Ste D
Calexico, CA 92231-2854

Phone

(760) 768-5246

Fax

(760) 768-2234

NPI assigned

Mar 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Luz E Tristan, MD

Title

Pediatrician

Phone

(760) 768-5246

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1801037577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 3RD ST STE D",
            "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": "408 E 3RD ST STE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922312854",
            "telephone_number": "760-768-5246",
            "fax_number": "760-768-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUZ TRISTAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "TRISTAN",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "760-768-5246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A064252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A642520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760536254",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Azucena Loera I
• Ashly Lopez
• Ernesto Lopez
• Lucv Medical Transportation Corp
• Karina Estefania Lupian, ASW
• Anna Hangthanh Ly
• Mariana Magana
• Jadine C Mah, PHARMD
• Allison Marie Mainas
• Man C Duong MD a Professional Corporation

• Primary Care Clinic/Center in Calexico, CA
• Providers in Calexico, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.