STEPHEN MARK PUENTES (NPI# 1336295997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336295997 |
| Entity Type | Individual |
| Full Name | STEPHEN MARK PUENTES |
| Credential | MD |
| Practice Address |
5850 S Main St Room 1127 Los Angeles CA 90003-1215 |
| Mailing Address |
8902 Woodman Ave Arleta CA 91331-6401 |
| Practice Telephone | 3238464219 |
| Practice Fax Number | 3232380210 |
| Mailing Telephone | 8188307033 |
| Mailing Fax Number | 8188307280 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
G63475 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID EPDB GROUP | 952662606 | 01 |
| CA | MEDICAL LICENSE | G063475 | 01 |
| CA | FHC70769F | 05 | |
| CA | FHC 11866 F | 05 | |
| CA | FHC70468F | 05 |
| Street Address |
5850 S MAIN ST ROOM 1127 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90003-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174549711 | Los Angeles County - Department of Health Services | Physician Assistant | 5850 S Main St, Los Angeles, CA 90003-1215 | 2006-07-15 |
| 1649799594 | County of Los Angeles Auditor Controller | Clinic/Center | 5850 S Main St, Rooms 1078,2010,2017,2018,2039,2246,2251, Los Angeles, CA 90003-1215 | 2017-09-12 |
| 1992228746 | Tavia Marie Ray-martin | Physical Therapist | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-07-24 |
| 1801317086 | Dorotha Lee Samuel | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-06-28 |
| 1548780059 | Violet Marie Grant | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-06-26 |
| 1841710589 | Viola Bangura | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-06-23 |
| 1093243933 | Maricela Gonzalez | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-05-23 |
| 1720516610 | Jacqueline Williams | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-05-23 |
| 1174051056 | Xiomara Cardenas | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-05-23 |
| 1609303619 | Ratana Penkingcarn | Registered Nurse | 5850 S Main St, Los Angeles, CA 90003-1215 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831878 | Didi Hirsch Psychiatric Service | Community/Behavioral Health | 9179 S Main Street, Los Angeles, CA 90003 | 2020-05-04 |
| 1780227207 | Herminia E Galvez | Counselor | 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 | 2019-10-28 |
| 1720567548 | Banty Dental Corporation | Clinic/Center | 5971 S Main Street, Los Angeles, CA 90003 | 2018-08-13 |
| 1932623030 | Mireya Melendez | Case Manager/Care Coordinator | 5849 Crocker Street Unit L, Los Angeles, CA 90003 | 2017-07-31 |
| 1356865810 | Oscar Montes Jr. | Social Worker | 8220 San Pedro St., Los Angeles, CA 90003 | 2017-07-26 |
| 1619407483 | Tonja Benetta Jordan | Registered Nurse | 5850 South Main St, Los Angeles, CA 90003 | 2017-06-14 |
| 1194254581 | Janae Wilson Shepherd | Registered Nurse | 5850 S Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1649709049 | Eisha Eishawndra Purvis | Registered Nurse | 5850 S. Main Street, Los Angeles, CA 90003 | 2017-06-08 |
| 1689022477 | Ladan Hariri | Psychiatry & Neurology | 1200 N.state St., Los Angeles, CA 90003 | 2016-06-02 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| Find all providers in zip 90003 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053739961 | Ashlyn Sakona | Internal Medicine | 200 Ucla Medical Plz Ste 365-c, Los Angeles, CA 90095-2536 | 2014-03-29 |
| 1427309285 | Nour Khouzam | Internal Medicine | 1331 S Saltair Ave Apt 1, Los Angeles, CA 90025-1369 | 2012-09-19 |
| 1649421553 | Lois Ramer | Internal Medicine | 1300 N Mission Rd, Rand Schrader Clinic, Los Angeles, CA 90033-1021 | 2008-10-09 |
| 1992900815 | David Changjeen Rhew | Internal Medicine | 5764 San Vicente Blvd, Suite 404, Los Angeles, CA 90019-7010 | 2007-06-20 |
| 1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
| 1952421075 | Sheree Rene Poitier | Internal Medicine | 241 N Figueroa St Ste 306e, Los Angeles, CA 90012-2601 | 2007-03-30 |
| 1336210459 | Patricia C Samuels | Internal Medicine | 6230 Wilshire Blvd, Ste 184, Los Angeles, CA 90048-5104 | 2006-11-11 |
| 1124198312 | Masoud Rahban | Internal Medicine | 5901 W Olympic Blvd Ste 307, Los Angeles, CA 90036-4664 | 2006-11-08 |
| 1841381217 | Phyllis A. Guze | Internal Medicine | 11301 Willshire Blvd, Bldg 500; Rm 3210, Los Angeles, CA 90073 | 2006-09-28 |
| 1861594897 | Dennis Ray Schaberg | Internal Medicine | 11301 Wilshire Blvd(111), Los Angeles, CA 90073-1003 | 2006-09-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90003 |
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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.