Perris Valley Physicians Associates, a Medical Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERRIS VALLEY PHYSICIANS ASSOCIATES, A MEDICAL CORP.

Practice address

735 S D St
Perris, CA 92570-2419

Phone

(951) 657-3177

Fax

(951) 657-4467

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Octavio Ruiz-Villalpando, M.D.NPI 1194832816

Title

President

Phone

(951) 657-3177

Specialties & licenses 1

Addresses

Other names 1

• Perris Valley Clinica Medica Familiar Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

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

• Octavio Ruiz-Villalpando, MD

  • Family Medicine Physician
  • Perris, CA
  • NPI 1194832816
  Medicare reassignment Authorized official
• Mariana Fuentes, CHW

  • Community Health Worker
  • Perris, CA
  • NPI 1457119109
  NPD
• Joanne Benzor, MD

  • Family Medicine Physician
  • Ontario, CA
  • NPI 1700977220
  NPD (past)
• Esteban Sante Poni, M.D.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1356439921
  NPD (past)
• Cory Ryan, PA

  • Physician Assistant
  • Upland, CA
  • NPI 1447809876
  NPD (past)
• Richard A Weise, MD

  • Ophthalmology Physician
  • Glendale, CA
  • NPI 1285622662
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1154420933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S D ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702419",
            "telephone_number": "951-657-3177",
            "fax_number": "951-657-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S D ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702419",
            "telephone_number": "951-657-3177",
            "fax_number": "951-657-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRIS VALLEY PHYSICIANS ASSOCIATES, A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "RUIZ-VILLALPANDO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-657-3177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perris Valley Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perris Recuperative Care LLC
• Perris Union High School District
• Perris Valley Community Hospital LLC
• Perris Valley Community Hospital, LLC
• Perris Valley Medical Group, Inc.
• Perris Valley Recovery Program, Inc.
• Alicia Perry
• Perris Peterson
• Phonmany Phengphavong
• Kakesha Phillips

• Family Medicine Physician in Perris, CA
• Providers in Perris, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.