Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Puttha Tuot

Individual provider Family Medicine Physician · NPI 1770080731

Justin Puttha Tuot is a Family Practice in Banning, California. Graduated from Loma Linda University School of Medicine in 2018, 8 years ago. Practices with Dlr Family Medicine Medical Group, PC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

5957 W Ramsey St
Banning, CA 92220-3058
Phone: (951) 845-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2145 N Fairfield Rd, Beavercreek, OH 45431-2580 — (937) 702-4031

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A174009 (CA)

Record details

NPI number1770080731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2018
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Dlr Family Medicine Medical Group, Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Banning