Organization Active NPI

Couture Medical Group Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1134528987
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 24, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20141217001276 CA Part B Supplier - Clinic/Group Practice 3375866676 Receives reassigned benefits from 3 practitioners
Practice locations: Riverside, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1040531Couture Medical Group, Inc6848 Magnolia Ave Ste 230, Riverside, CA 92506Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.