Pulmonary Partners Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

G60605 Issued in CA

Legal business name

PULMONARY PARTNERS INC

Practice address

5790 Magnolia Ave
Suite 201
Riverside, CA 92506-1874

Phone

(951) 368-0427

Fax

(951) 368-0429

NPI assigned

May 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steven Stanley Wildish

Title

Manager

Phone

(951) 378-3605

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1013278670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 MAGNOLIA AVE",
            "address_2": "SUITE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061874",
            "telephone_number": "951-368-0427",
            "fax_number": "951-368-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 MAGNOLIA AVE",
            "address_2": "SUITE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061874",
            "telephone_number": "951-368-0427",
            "fax_number": "951-368-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "WILDISH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-378-3605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G60605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Puga
• Margaret Puissant
• Alfonso Pulido
• Angelina Ray Pulido
• Tiffany Dominique Pullman
• Mikaela Pulse
• Tara Pulu
• Justin Pungprechawat
• Hezekia Purba
• Kimberly Purcell

• Geriatric Medicine (Internal Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.