Active NPI
Lasalle Medical Associates
- Multi-Specialty Clinic/Center
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- LASALLE MEDICAL ASSOCIATES
- Practice address
- 790 E Foothill Blvd # D
Rialto, CA 92376-5269 - Phone
- (909) 546-7135
- NPI assigned
- Feb 11, 2019
- Last updated
- Aug 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Albert Henry Arteaga, MD
- Title
- Ceo/Owner
- Phone
- (909) 890-0407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
790 E Foothill Blvd # D
Rialto, CA 92376-5269
Mailing address
1855 W Redlands Blvd FL 2
Redlands, CA 92373-3145
Phone (909) 890-0407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050506000376 | CA | Part B Supplier - Clinic/Group Practice | 1557301744 |
Receives reassigned benefits from 8 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fontana, CA; Hesperia, CA; Rialto, CA; San Bernardino, CA; Victorville, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Multi-Specialty Clinic/Center
- Hesperia, CA
- NPI 1316075062
O20050506000376
-
- Multi-Specialty Clinic/Center
- San Bernardino, CA
- NPI 1447388251
O20050506000376
-
- Multi-Specialty Clinic/Center
- Victorville, CA
- NPI 1689130098
O20050506000376
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2030073 | Lasalle Medical Associates | Certificate of waiver | Sep 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
16455 Main St
Ste 1
Hesperia, CA 92345
Phone (760) 947-2161
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Fontan, CA
- NPI 1942398482
-
- Family Medicine Physician
- Fontana, CA
- NPI 1750510251
-
- Family Nurse Practitioner
- San Bernardino, CA
- NPI 1679560346
-
- Family Nurse Practitioner
- Hesperia, CA
- NPI 1215627195
-
- Nurse Practitioner
- San Bernardino, CA
- NPI 1235842535
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1053802470
-
- Internal Medicine Physician
- Yucca Valley, CA
- NPI 1285605014
-
- Internal Medicine Physician
- Boca Raton, FL
- NPI 1548758006
-
- Family Nurse Practitioner
- Hamilton, OH
- NPI 1740945583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597968000000",
"number": "1881150290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W REDLANDS BLVD FL 2",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923733145",
"telephone_number": "909-890-0407",
"fax_number": "909-890-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 E FOOTHILL BLVD # D",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765269",
"telephone_number": "909-546-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASALLE MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-11",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A",
"authorized_official_last_name": "ARTEAGA",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "909-890-0407",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.