Andres a de la Llana MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A54374 Issued in CA

Legal business name

ANDRES A DE LA LLANA MD INC

Practice address

15982 Quantico Rd Ste C
Apple Valley, CA 92307-1382

Phone

(760) 646-9010

Fax

(760) 810-0267

NPI assigned

Apr 27, 2017

Last updated

Apr 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andres Gavino Alvarez De la Llana, M.D.NPI 1497802094

Title

Owner

Phone

(760) 646-9010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Andres Gavino Alvarez De la Llana, MD

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1497802094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1942735923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15982 QUANTICO RD STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071382",
            "telephone_number": "760-646-9010",
            "fax_number": "760-810-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15982 QUANTICO RD STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071382",
            "telephone_number": "760-646-9010",
            "fax_number": "760-810-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRES A DE LA LLANA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "DE LA LLANA",
        "authorized_official_first_name": "ANDRES GAVINO",
        "authorized_official_middle_name": "ALVAREZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-646-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A54374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Anderson, M.D
• Tre'Nise Je'Mel Anderson
• Autumn Andrade
• Rose Kathleen Andrade, LCSW
• Karyn D Andreasen
• Sandra Elizabeth Andres Mejia
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• Heather Angel
• Zayra Janeth Angeles

• Primary Care Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, 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 Apr 27, 2017; 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.

Verify at the official NPI Registry.