NPIMap

Organization Active NPI

Apex Healthcare Medical Center Inc

  • Specialist
  • Hemet, CA
National Provider Identifier
1184820987
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
APEX HEALTHCARE MEDICAL CENTER INC
Practice address
41889 E. Florida Ave
41889 State Highway 74
Hemet, CA 92544-5042
Phone
(951) 652-8700
Fax
(951) 766-9944
NPI assigned
Jun 27, 2007
Organization subpart
Yes
Parent organization
APEX HEALTHCARE MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Rose Gutierrez
Title
Manager
Phone
(951) 652-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

41889 E. Florida Ave
41889 State Highway 74
Hemet, CA 92544-5042

Mailing address

41889 E Florida Ave
State Highway 74
Hemet, CA 92544-5042
Phone (951) 652-8700

Other identifiers 1

IdentifierTypeStateIssuer
DA8292OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000679 CA Part B Supplier - Clinic/Group Practice 2860396306 Receives reassigned benefits from 6 practitioners
Practice locations: Hemet, CA; Menifee, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Apex Medical Group Inc

Locations

41889 State Highway 74
Fl Ave
Hemet, CA 92544
Phone (951) 652-8700

1225 E Latham Ave
Ste A
Hemet, CA 92543
Phone (909) 652-8700

29826 Haun Rd
Ste 305
Menifee, CA 92586
Phone (951) 766-0374

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1184820987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41889 E FLORIDA AVE",
            "address_2": "STATE HIGHWAY 74",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "951-652-8700",
            "fax_number": "951-766-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41889 E. FLORIDA AVE",
            "address_2": "41889 STATE HIGHWAY 74",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "951-652-8700",
            "fax_number": "951-766-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX HEALTHCARE MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APEX HEALTHCARE MEDICAL CENTER INC",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-652-8700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA8292",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.