Active NPI
William R Alex MD Inc
- Surgery Physician
- Riverside, CA
National Provider Identifier
1184735953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G86010
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G86010 | CA | Primary |
| Surgical Critical Care Physician | 2086S0102X | G86010 | CA | |
| Trauma Surgery Physician | 2086S0127X | G86010 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G860100 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.