Keystone Medical Group

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

C41397 Issued in CA

Legal business name

KEYSTONE MEDICAL GROUP

Practice address

4843 Arlington Ave
Riverside, CA 92504-2760

Phone

(951) 682-4404

Fax

(951) 682-4406

NPI assigned

Jun 10, 2009

Last updated

Jun 10, 2009By 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

Dr. Gary Jordan Weessies, D.C.NPI 1992862189

Title

Partner

Phone

(951) 682-4404

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Gary Jordan Weessies, D.C.

  • Chiropractor
  • Riverside, CA
  • NPI 1992862189
  NPD (past) Authorized official
• Raymond Gonzales Rojas, DC

  • Chiropractor
  • Riverside, CA
  • NPI 1487933602
  NPD (past)

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1235365701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042760",
            "telephone_number": "951-682-4404",
            "fax_number": "951-682-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042760",
            "telephone_number": "951-682-4404",
            "fax_number": "951-682-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "WEESSIES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-682-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24932",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "CA",
            "license": "C41397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Silvia Keukelaar, LAC NCCOM LAC
• Kayla Key
• Kiahnna Key
• Mackenize Key
• Debbie Keys
• Kha D. Le & Men T. H. Le, Dental Corp. (Riverside Dentistry)
• Rainee Alexis Khabagnote
• Adon Khachik, MD
• Evelyn Khader, PHARMD
• Aditi Khadilkar

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; 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.