NPIMap

Organization Active NPI

Southland Arthrites and Osteoporosis Medical Center Inc

  • Rheumatology Physician
  • Menifee, CA
National Provider Identifier
1033296231
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC
Practice address
29798 Haun Rd
Suite 301
Menifee, CA 92586
Phone
(951) 672-1866
Fax
(951) 672-1886
NPI assigned
Nov 1, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mrs. Deni C Mehta, B.S.
Title
Office Manager
Phone
(951) 672-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

29798 Haun Rd
Suite 301
Menifee, CA 92586

Mailing address

949 Calhoun PL
Suite F
Hemet, CA 92543-4403
Phone (951) 652-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000390 CA Part B Supplier - Clinic/Group Practice 2567548258 Receives reassigned benefits from 18 practitioners
Practice locations: Menifee, CA

National Provider Directory

National Provider Directory

Locations

285 N El Camino Real
Ste 118
Encinitas, CA 92024

949 Calhoun Pl
Hemet, CA 92543

4150 Regents Park Row
#321
La Jolla, CA 92037

29826 Haun Rd
Ste 301
Menifee, CA 92586
Phone (951) 302-0606

56970 Yucca Trl
Ste 104
Yucca Valley, CA 92284
Phone (760) 365-3711

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1033296231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "SUITE F",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-652-5000",
            "fax_number": "951-765-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29798 HAUN RD",
            "address_2": "SUITE 301",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "92586",
            "telephone_number": "951-672-1866",
            "fax_number": "951-672-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND ARTHRITES AND OSTEOPOROSIS MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DENI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-672-1866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.