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JUSTIN ALEXANDER PEGUEROS MD NPI 1427546738


NPI Information

NPI: 1427546738
Provider Name: JUSTIN ALEXANDER PEGUEROS, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: PREMIER FAMILY MEDICINE ASSOCIATES, INC

PECOS Registration: Yes

Address:
1770 N ORANGE GROVE AVE STE 101
POMONA, CA
ZIP 91767
Phone: (909) 469-9494
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Justin Alexander Pegueros, MD is a student in an organized health care education training program in Pomona, CA with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Alexander Pegueros, MD NPI is 1427546738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2017

The provider's business location address is:

1770 N ORANGE GROVE AVE STE 101
POMONA, CA
ZIP 91767-027
Phone: (909) 469-9494
Fax: (909) 620-0461

The NPI 1427546738 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 4/23/2018 and was last updated on 4/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.