Organization Active NPI

Jose C Briones, Jr. M.D., Inc.

  • Ophthalmology Physician
  • Glendora, CA
National Provider Identifier
1174714760
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C40152 Issued in MA
Legal business name
JOSE C BRIONES, JR. M.D., INC.
Practice address
130 W Route 66
Suite 212
Glendora, CA 91740-6249
Phone
(626) 914-4705
Fax
(626) 852-0331
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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

Authorized official

Name
Dr. Jose C Briones Jr., M.D.
Title
President
Phone
(626) 914-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X C40152 MA Primary

Addresses

Primary practice location

130 W Route 66
Suite 212
Glendora, CA 91740-6249

Mailing address

130 W Route 66
Suite 212
Glendora, CA 91740-6249
Phone (626) 914-4705

Other identifiers 1

IdentifierTypeStateIssuer
00C401520MedicaidCA

National Provider Directory

National Provider Directory

Locations

130 W Route 66
Ste 202
Glendora, CA 91740
Phone (626) 914-4705

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1174714760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 212",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-914-4705",
            "fax_number": "626-852-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W ROUTE 66",
            "address_2": "SUITE 212",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406249",
            "telephone_number": "626-914-4705",
            "fax_number": "626-852-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE C BRIONES, JR. M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-914-4705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "C40152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C401520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.