North Bristol Injury and Family Medical Center

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006356 Issued in CA

Legal business name

NORTH BRISTOL INJURY AND FAMILY MEDICAL CENTER

Practice address

5430 Arlington Ave
1415 N. Broadway Ave. Santa Ana, Ca. 92706
Riverside, CA 92504-2505

Phone

(951) 689-2955

Fax

(951) 689-2477

NPI assigned

Apr 20, 2017

Organization subpart

No

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

Authorized official

Name

Andrew G Perez, JD

Title

Clinic Management

Phone

(909) 581-5472

Specialties & licenses 1

Addresses

Tax ID family

Jose E Aguilar MD a Medical Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jose E Aguilar MD a Medical Corporation

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1477796043
  NPD tax ID
• North Bristol Family and Injury Medical Center

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1851705818
  NPD tax ID

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1164956785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042505",
            "telephone_number": "951-689-2955",
            "fax_number": "951-689-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 ARLINGTON AVE",
            "address_2": "1415 N. BROADWAY AVE. SANTA ANA, CA. 92706",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042505",
            "telephone_number": "951-689-2955",
            "fax_number": "951-689-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BRISTOL INJURY AND FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINIC MANAGEMENT",
        "authorized_official_telephone_number": "909-581-5472",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Vazquez DDS, Inc. (West Coast Cosmetic Dentistry)
• Cassondra Joanne Norman, CMT
• Jane A Norris, LMFT
• Sharquay Tychelle Norris
• Norte Vista High School
• Jennifer M. North, N.P.
• Ronald D Northcutt Sr., LAADC-CA
• Laura Ann Norton, RN
• Pamela Norton
• Dustin Norwood

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.