NPIMap

Individual provider Active NPI

Nuria F Pleitez, M.D.

  • General Practice Physician
  • Covina, CA
National Provider Identifier
1942361332
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A40248 Issued in CA
Practice address
430 W Badillo St
Covina, CA 91723-1829
Phone
(626) 859-2851
Fax
(626) 859-0341
NPI assigned
Dec 12, 2006
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A40248 CA
General Practice Physician 208D00000X A40248 CA Primary

Addresses

Primary practice location

430 W Badillo St
Covina, CA 91723-1829

Mailing address

430 W Badillo St
Covina, CA 91723-1829
Phone (626) 859-2851

Other identifiers 1

IdentifierTypeStateIssuer
00A402481MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209001096 CA Practitioner - General Practice 0244410132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

430 W Badillo St
Covina, CA 91723-1829

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40248CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nuria F. Pleitez, M.D., Inc. General Practice CurrentSince Jul 13, 2010 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Community Medical Center, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

430 W Badillo St
Covina, CA 91723
Phone (626) 859-2851

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1942361332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231829",
            "telephone_number": "626-859-2851",
            "fax_number": "626-859-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231829",
            "telephone_number": "626-859-2851",
            "fax_number": "626-859-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEITEZ",
        "first_name": "NURIA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A40248",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.