Organization Active NPI

Precise Health

  • Internal Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1124251632
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A35998 Issued in CA
Legal business name
PRECISE HEALTH
Practice address
165 W Hospitality LN Ste 101
San Bernardino, CA 92408-3334
Phone
(909) 379-9368
NPI assigned
Aug 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Steve Tragoon, M.D.
Title
President/Owner
Phone
(909) 379-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A35998 CA Primary

Addresses

Primary practice location

165 W Hospitality LN Ste 101
San Bernardino, CA 92408-3334

Mailing address

165 W Hospitality LN Ste 101
San Bernardino, CA 92408-3334
Phone (909) 379-9368

National Provider Directory

National Provider Directory

Locations

246 E Highland Ave
#113
San Bernardino, CA 92404

165 W Hospitality Ln
#101
San Bernardino, CA 92408
Phone (909) 379-9368

165 W Hospitality Ln
Ste 101
San Bernardino, CA 92408
Phone (909) 379-9368

NPI Registry JSON

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1124251632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN STE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "909-379-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W HOSPITALITY LN STE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083334",
            "telephone_number": "909-379-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-31",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "TRAGOON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "909-379-9368",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.