Eduardo Pineda MD, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

C53030 Issued in CA

Legal business name

EDUARDO PINEDA MD, INC

Practice address

820 N Mountain Ave Ste 108
Upland, CA 91786-4163

Phone

(909) 256-4175

Fax

(909) 727-8012

NPI assigned

Jun 8, 2017

Organization subpart

No

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

Authorized official

Name

Offir Villafany

Title

Office Manager

Phone

(909) 256-4175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Eduardo Pineda, MD

  • Psychiatry Physician
  • Upland, CA
  • NPI 1457327520
  Medicare reassignment NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1174052435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 108",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N MOUNTAIN AVE STE 108",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864163",
            "telephone_number": "909-256-4175",
            "fax_number": "909-727-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO PINEDA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "VILLAFANY",
        "authorized_official_first_name": "OFFIR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-256-4175"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "C53030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Edward H. Park MD., a Medical Corporation
• Edward Leong, D.D.S. a Professional Dental Corporation
• Victoria Anne Edwards, DPT
• Elham Sadat Eftekhari, PHARMD
• Eggleston Youth Centers, Inc.

• Adult Mental Health Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.