Organization Active NPI

William R Alex MD Inc

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1184735953
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G86010 Issued in CA
Legal business name
WILLIAM R ALEX MD INC
Practice address
4000 14TH St
Ste 306
Riverside, CA 92501-4083
Phone
(951) 682-2036
Fax
(951) 682-2942
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
William R Alex, MD
Title
President
Phone
(909) 732-4148

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G86010 CA Primary
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X G86010 CA
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X G86010 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X G86010 CA

Addresses

Primary practice location

4000 14TH St
Ste 306
Riverside, CA 92501-4083

Mailing address

4000 14TH St
Ste 306
Riverside, CA 92501-4083
Phone (951) 682-2036

Other identifiers 1

IdentifierTypeStateIssuer
00G860100MedicaidCA

National Provider Directory

National Provider Directory

Locations

4000 14th St
Ste 306
Riverside, CA 92501
Phone (951) 682-2036

4440 Brockton Ave
Ste 220
Riverside, CA 92501
Phone (951) 682-2036

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1184735953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "STE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014083",
            "telephone_number": "951-682-2036",
            "fax_number": "951-682-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "STE 306",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014083",
            "telephone_number": "951-682-2036",
            "fax_number": "951-682-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R ALEX MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "ALEX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-732-4148",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G86010",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "G86010",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G86010",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G86010",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G860100",
            "state": "CA"
        }
    ],
    "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 Mar 19, 2010; 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.