Organization Active NPI

Dewar Medical Group Inc

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1023323870
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A33700 Issued in CA
Legal business name
DEWAR MEDICAL GROUP INC
Practice address
399 E Highland Ave Ste 124
San Bernardino, CA 92404-3854
Phone
(909) 886-6576
Fax
(909) 882-1299
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. Seneca T Dewar, MD
Title
President
Phone
(909) 886-6576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A33700 CA Primary

Addresses

Primary practice location

399 E Highland Ave Ste 124
San Bernardino, CA 92404-3854

Mailing address

399 E Highland Ave Ste 124
San Bernardino, CA 92404-3854
Phone (909) 886-6576

National Provider Directory

National Provider Directory

Locations

399 E Highland Ave
Ste 124
Sn Bernrdno, CA 92404
Phone (909) 886-6576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1023323870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 124",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043854",
            "telephone_number": "909-886-6576",
            "fax_number": "909-882-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 124",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043854",
            "telephone_number": "909-886-6576",
            "fax_number": "909-882-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWAR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "DEWAR",
        "authorized_official_first_name": "SENECA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-886-6576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.