Organization Active NPI

Hofmeister Medical, PC

  • General Practice Physician
  • Lake Elsinore, CA
National Provider Identifier
1235755299
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOFMEISTER MEDICAL, PC
Practice address
31735 Riverside Dr Ste K
Lake Elsinore, CA 92530-7816
Phone
(951) 245-2333
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Patrick ConnollyNPI 1215900790
Title
Employee
Phone
(951) 245-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

31735 Riverside Dr Ste K
Lake Elsinore, CA 92530-7816

Mailing address

31735 Riverside Dr Ste K
Lake Elsinore, CA 92530-7816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1235755299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31735 RIVERSIDE DR STE K",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31735 RIVERSIDE DR STE K",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925307816",
            "telephone_number": "951-245-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOFMEISTER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "951-245-2333"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.