LASALLE MEDICAL ASSOCIATES (NPI# 1316075062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316075062 |
| Entity Type | Organization |
| Organization Name | LASALLE MEDICAL ASSOCIATES |
| Practice Address |
16455 Main Street Suite 1 Hesperia CA 92345 |
| Mailing Address |
1855 W Redlands Blvd 2nd Floor Redlands CA 92373-3145 |
| Practice Telephone | 7609472161 |
| Practice Fax Number | 7609473673 |
| Mailing Telephone | 9098900407 |
| Mailing Fax Number | 9098904597 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | ALBERT H. ATEAGA (CEO/OWNER) |
| Authorized Official Telephone | 9098900407 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE UPIN | P00226162 | 01 |
| CA | GR0079092 | 05 | |
| CA | MEDI-CAL ID NUMBER | 00A382060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150290 | Lasalle Medical Associates | Clinic/Center | 790 E Foothill Blvd # D, Rialto, CA 92376-5269 | 2019-02-11 |
| 1457489197 | Lasalle Medical Associates | Clinic/Center | 31762 Mission Trail, Suite F, Lake Elsinore, CA 92530 | 2007-03-02 |
| 1891892535 | Lasalle Medical Associates | Clinic/Center | 1855 W Redlands Blvd Fl 2, Redlands, CA 92373-3145 | 2006-09-17 |
| 1689130098 | Lasalle Medical Associates | Clinic/Center | 14544 7th St, Victorville, CA 92395-4214 | 2019-02-11 |
| 1023398468 | Lasalle Medical Associates | Preferred Provider Organization | 685 Carnegie Dr, Suite 230, San Bernardino, CA 92408-3502 | 2011-08-17 |
| 1548398142 | Lasalle Medical Associates | Clinic/Center | 1505 W. 17th Street, San Bernardino, CA 92411 | 2007-03-02 |
| 1275661084 | Lasalle Medical Associates | Clinic/Center | 17577 Arrow Blvd, Fontana, CA 92335 | 2007-03-01 |
| 1447388251 | Lasalle Medical Associates | Clinic/Center | 565 N. Mt. Vernon Ave., San Bernardino, CA 92411-2661 | 2007-03-01 |
| Street Address |
16455 MAIN STREET SUITE 1 |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699851550 | Telesforo Mondares Ramos | Family Medicine | 16455 Main Street, Suite 1, Hesperia, CA 92345 | 2006-10-31 |
| 1205208394 | Albert Lamont Springer | Nurse Practitioner | 16455 Main Street, Suite 1, Hesperia, CA 92345-3550 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922515154 | A New Beginning Therapeutic Solutions Counseling Center | Clinic/Center | 15731 Main St, Hesperia, CA 92345-3400 | 2018-01-09 |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.