Edgar Ardila MD Inc.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

A54539 Issued in CA

Legal business name

EDGAR ARDILA MD INC.

Practice address

11705 Slate Ave
Suite 200
Riverside, CA 92505-5196

Phone

(951) 351-1344

Fax

(951) 359-3748

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Edgar Ardila, MD

Title

Physician

Phone

(951) 534-3158

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1043458268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28030 BLACKBERRY WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92887",
            "telephone_number": "951-351-1346",
            "fax_number": "951-351-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055196",
            "telephone_number": "951-351-1344",
            "fax_number": "951-359-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR ARDILA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "ARDILA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-534-3158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A54539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A5453",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Alicia Eckhart
• Ed Kim, Inc.
• Amanda Eddy
• Bartholomew A Edem-Enang, PHD STUDENT
• Jennie Lisette Edeza
• Jason Edgar, PSY.D.
• Janifer Snell Edmisten, PT
• Vea Ednilao
• Afarin Aria Edrisi
• Edwards Pintelon Medical Associates Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.