Organization Active NPI

Clinica del Pueblo Lamont

  • Internal Medicine Physician
  • Lamont, CA
National Provider Identifier
1811417652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A85474 Issued in CA
Legal business name
CLINICA DEL PUEBLO LAMONT
Practice address
10200 Main St Ste a
Lamont, CA 93241-1700
Phone
(661) 845-1788
Fax
(661) 845-1791
NPI assigned
Jun 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Leopoldo Puga, MD
Title
Medical Director/President
Phone
(661) 845-1788

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA12281 CA
Internal Medicine Physician 207R00000X A85474 CA Primary

Addresses

Primary practice location

10200 Main St Ste a
Lamont, CA 93241-1700

Mailing address

10200 Main St Ste a
Lamont, CA 93241-1700
Phone (661) 845-1788

Other identifiers 1

IdentifierTypeStateIssuer
I30581OtherCAUPIN

National Provider Directory

National Provider Directory

Locations

10200 Main St
Ste A
Lamont, CA 93241
Phone (661) 845-1788

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811417652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 MAIN ST STE A",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411700",
            "telephone_number": "661-845-1788",
            "fax_number": "661-845-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 MAIN ST STE A",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411700",
            "telephone_number": "661-845-1788",
            "fax_number": "661-845-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DEL PUEBLO LAMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PUGA",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "661-845-1788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA12281",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I30581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.