STEPHEN MARK PUENTES MD NPI 1336295997

NPI Information

NPI: 1336295997
Provider Name: STEPHEN MARK PUENTES, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
5850 S MAIN ST
ROOM 1127
LOS ANGELES, CA
ZIP 90003
Phone: (323) 846-4219
Get Directions

Stephen Mark Puentes, MD is an infectious disease internal medicine in Los Angeles, CA. The provider is 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. Stephen Mark Puentes, MD NPI is 1336295997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5850 S MAIN ST
ROOM 1127
LOS ANGELES, CA
ZIP 90003-215
Phone: (323) 846-4219
Fax: (323) 238-0210

The NPI 1336295997 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 3/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RI0200X	Internal Medicine	Infectious Disease	G63475	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A53735	MEDICARE UPIN	CALIFORNIA
2	FHC 11866 F	MEDICAID	CALIFORNIA
3	WG63475E	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	CANOGA MEDICARE NUMBER
4	WG63475C	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	ARLETA MEDICARE NUMBER
5	G063475	OTHER	CALIFORNIA	MEDICAL LICENSE
6	952662606	OTHER	CALIFORNIA	TAX ID EPDB GROUP
7	FHC70769F	MEDICAID	CALIFORNIA
8	FHC70468F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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