Woodcrest Medical Center, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40030 Issued in CA

Legal business name

WOODCREST MEDICAL CENTER, INC.

Practice address

9041 Magnolia Ave
Suite 105B
Riverside, CA 92503-3900

Phone

(951) 351-7726

Fax

(951) 351-7730

NPI assigned

Sep 12, 2007

Last updated

Sep 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Conrad Paul, M.DNPI 1508837352

Title

President

Phone

(951) 351-7726

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Peter Paul, M.D.

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1508837352
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1215122213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 105B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-351-7726",
            "fax_number": "951-351-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 MAGNOLIA AVE",
            "address_2": "SUITE 105B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033900",
            "telephone_number": "951-351-7726",
            "fax_number": "951-351-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODCREST MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-351-7726",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A400300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Wong, MD
• Holly Carissa Wood
• Lora Ann Wood
• Samantha Michelle Wood, MSN, CRNA
• Ashley Lauren Woodcock, NP-C
• Woodcrest Vision Center
• Woodcrest Vision Center- Optometry
• Ernest Woodhouse, M.D.
• David J. Wooding, MD
• Deja Woods-Vargas

• Family Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.