Provider Demographics
NPI:1497927362
Name:JAMES LEONARD PINTO, M.D., P.C.
Entity type:Organization
Organization Name:JAMES LEONARD PINTO, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-452-3883
Mailing Address - Street 1:320 E BUENA VISTA ST
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-2806
Mailing Address - Country:US
Mailing Address - Phone:760-255-4963
Mailing Address - Fax:760-252-1140
Practice Address - Street 1:320 E BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2806
Practice Address - Country:US
Practice Address - Phone:760-255-4963
Practice Address - Fax:760-252-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036074538Medicaid
CAEZ217AMedicare PIN
IL271050Medicare PIN