NPIMap

Organization Active NPI

Teresa P. Avants, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Loma Linda, CA
National Provider Identifier
1053482521
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G56066 Issued in CA
Legal business name
TERESA P. AVANTS, M.D., INC.
Practice address
25455 Barton Rd
Suite A204
Loma Linda, CA 92354-3128
Phone
(909) 799-8620
Fax
(909) 799-1708
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Teresa Pfiefle Avants, M.D.NPI 1235254848
Title
President
Phone
(909) 799-8620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G56066 CA Primary

Addresses

Primary practice location

25455 Barton Rd
Suite A204
Loma Linda, CA 92354-3128

Mailing address

25455 Barton Rd
Suite A204
Loma Linda, CA 92354-3128
Phone (909) 799-8620

National Provider Directory

National Provider Directory

Locations

25455 Barton Rd
Ste 204A
Loma Linda, CA 92354
Phone (909) 799-8620

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053482521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE A204",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-799-8620",
            "fax_number": "909-799-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "address_2": "SUITE A204",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-799-8620",
            "fax_number": "909-799-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA P. AVANTS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVANTS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "PFIEFLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-799-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G56066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • 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.