Active NPI
Couture Medical Group Inc
- Family Medicine Physician
- Riverside, CA
National Provider Identifier
1134528987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COUTURE MEDICAL GROUP INC
- Practice address
- 6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2858 - Phone
- (951) 682-9911
- NPI assigned
- Aug 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry H Couture, MD
- Title
- Ceo
- Phone
- (951) 682-9911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2858
Mailing address
6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2858
Phone (951) 682-9911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1040531 | Couture Medical Group, Inc | Certificate of waiver | May 10, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1962609115
-
- Family Medicine Physician
- Riverside, CA
- NPI 1548464175
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1912906140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411516800000",
"number": "1134528987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6848 MAGNOLIA AVE",
"address_2": "SUITE 230",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062858",
"telephone_number": "951-682-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6848 MAGNOLIA AVE",
"address_2": "SUITE 230",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062858",
"telephone_number": "951-682-9911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUTURE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2014-09-24",
"status": "A",
"authorized_official_last_name": "COUTURE",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-682-9911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- County of Riverside-Community Health Agency
- County of Riverside-Community Health Agency
- County of Riverside-Community Health Agency
- County of Riverside-Community Health Agency
- County of Riverside-Community Health Agency
- Jason M. Couture, M.D.
- Shawn Daniel Couture, M.D.
- Bryan Alexander Covarrubias
- Daisy Covarrubias
- Irma Covarrubias, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.