GUSTAVO LUGO (NPI# 1912941683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912941683 |
| Entity Type | Individual |
| Full Name | GUSTAVO LUGO |
| Credential | M.D. |
| Practice Address |
4002 Vista Way Oceanside CA 92056-4506 |
| Mailing Address |
3156 Vista Way Oceanside CA 92056-3622 |
| Practice Telephone | 7607248411 |
| Mailing Telephone | 7604396581 |
| Mailing Fax Number | 7604396585 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G57240 | CA | Other Service Providers |
| Street Address |
4002 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780997 | Bruce J Biederman | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-06-15 |
| 1629686241 | Antony and Paul Healthcare, Inc | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-07-20 |
| 1780200204 | Avalon Scopellite | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-06-20 |
| 1457919367 | Michelle Mccaslin | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-06-05 |
| 1467926295 | Michael Demasco | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-01-15 |
| 1083198238 | Christopher Roy Smith Carman | Counselor | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-09-23 |
| 1033697669 | Hospitalist Medicine Physicians of California - Oceanside | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-08-06 |
| 1750879714 | Patricia Matthews | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-25 |
| 1942707898 | Andrew Fischer Md LLC | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-08 |
| 1316447246 | Vuong Nguyen | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439690 | Suzanne Schultz | Specialist | 159 Virginia Ave, Oceanside, NY 11572-5432 | 2019-10-24 |
| 1104487834 | Carolyn Grossman | Specialist | 3983 Carrel Blvd, Oceanside, NY 11572-5967 | 2019-06-24 |
| 1912561614 | Ada M Harris | Specialist | 108a Merle Ave, Oceanside, NY 11572-2235 | 2019-04-28 |
| 1649759663 | Deirdre Lee Harpur | Specialist | 3135 Ralph Ave, Oceanside, NY 11572-4420 | 2018-08-09 |
| 1033602594 | Maureen Greco-blois | Specialist | 567 Derby Dr N, Oceanside, NY 11572-2613 | 2018-06-10 |
| 1467945188 | Angela Anne Miller | Specialist | 3006 Trinity St, Oceanside, NY 11572-3224 | 2018-06-07 |
| 1972000859 | Melanie Greene | Specialist | 28 Court St, Oceanside, NY 11572-2012 | 2018-04-09 |
| 1376041376 | Sharon Sue Gordon | Specialist | 175 W Windsor Pkwy, Oceanside, NY 11572-3934 | 2018-01-25 |
| 1295249597 | Jenelle Patricia Christian | Specialist | 3809 Plaza Dr Ste 112, Oceanside, CA 92056-4625 | 2017-11-22 |
| 1164949848 | Luigina Demarco | Specialist | 2434 Westlake Ave, Oceanside, NY 11572-1745 | 2017-08-24 |
| Find all providers in OCEANSIDE | ||||
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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.