Organization Active NPI

J M Asprec MD

  • Family Medicine Physician
  • Lake Elsinore, CA
National Provider Identifier
1043839699
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
J M ASPREC MD
Practice address
31571 Canyon Estates Dr
Ste 132
Lake Elsinore, CA 92532-0471
Phone
(951) 674-7811
Fax
(951) 674-7812
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Mr. Joseph M Asprec, M.D
Title
Owner
Phone
(951) 461-9573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

31571 Canyon Estates Dr
Ste 132
Lake Elsinore, CA 92532-0471

Mailing address

31571 Canyon Estates Dr
Ste 132
Lake Elsinore, CA 92532-0471
Phone (951) 461-9573

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221114002247 CA Part B Supplier - Clinic/Group Practice 6709254295 Practice locations: Lake Elsinore, CA

National Provider Directory

National Provider Directory

Locations

31571 Canyon Estates Dr
Ste 132
Lake Elsinore, CA 92532
Phone (951) 674-7811

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1043839699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "STE 132",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320471",
            "telephone_number": "951-461-9573",
            "fax_number": "951-304-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31571 CANYON ESTATES DR",
            "address_2": "STE 132",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320471",
            "telephone_number": "951-674-7811",
            "fax_number": "951-674-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J M ASPREC MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "ASPREC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-461-9573",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.