Organization Active NPI

La Loma Medical Group, Inc. 2

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1932377165
Registry record updated Feb 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75190 Issued in CA
Legal business name
LA LOMA MEDICAL GROUP, INC. 2
Practice address
10 E Charter Way
Stockton, CA 95206-1357
Phone
(209) 460-1900
Fax
(209) 460-1912
NPI assigned
Feb 11, 2008
Last updated
Feb 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2008

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

Authorized official

Name
Dr. Esteban D Lovato, M.D.NPI 1376610923
Title
Physician
Phone
(510) 261-1677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75190 CA Primary

Addresses

Primary practice location

10 E Charter Way
Stockton, CA 95206-1357

Mailing address

3022 International Blvd Ste 312
Oakland, CA 94601-2226
Phone (510) 261-1677

National Provider Directory

National Provider Directory
Tax ID family
La Loma Medical Group Inc 22 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.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203811200000",
    "number": "1932377165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 INTERNATIONAL BLVD STE 312",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012226",
            "telephone_number": "510-261-1677",
            "fax_number": "510-261-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E CHARTER WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061357",
            "telephone_number": "209-460-1900",
            "fax_number": "209-460-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA LOMA MEDICAL GROUP, INC. 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-24",
        "status": "A",
        "authorized_official_last_name": "LOVATO",
        "authorized_official_first_name": "ESTEBAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-261-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2008; 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.