Parkview Outpatient Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PARKVIEW OUTPATIENT MEDICAL GROUP, INC.

Practice address

9041 Magnolia Ave
Suite 107
Riverside, CA 92503-3900

Phone

(951) 353-1021

Fax

(951) 687-0692

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Peter Conrad Paul, M.D.NPI 1508837352

Title

Owner

Phone

(951) 353-1021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Peter Paul, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1508837352
  NPD (past) Authorized official
• Jason M. Couture, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1962609115
  NPD (past)
• Shawn Daniel Couture, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1548464175
  NPD (past)
• Tiana Marie Douglas, PA-C

  • Physician Assistant
  • Duarte, CA
  • NPI 1164643250
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043387517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 107",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-687-0692",
            "fax_number": "951-687-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 107",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-353-1021",
            "fax_number": "951-687-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW OUTPATIENT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-353-1021",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkview Medical Group, Inc.
• Parkview Medical Group, Inc.
• Parkview Medical Plaza Pharmacy Inc (Parkview Medical Plaza Pharmacy)
• Parkview Medical Plaza Pharmacy Inc (Parkview Medical Plaza Pharmacy)
• Parkview Medical Plaza Pharmacy LTC
• Leia S Parnell
• Maria F Parra Colmenter, DDS
• Maria Parra Perez
• Jarely Rivera Parra
• Jocelyn Parra

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.