Endocrine Associates of Riverside a Professional Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINE ASSOCIATES OF RIVERSIDE A PROFESSIONAL CORPORATION

Practice address

3975 Jackson St Ste 200
Riverside, CA 92503-3947

Phone

(951) 353-2769

Fax

(951) 353-2779

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Freddie P Dial, MD

Title

President

Phone

(951) 353-2769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1295419182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033947",
            "telephone_number": "951-353-2769",
            "fax_number": "951-353-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033947",
            "telephone_number": "951-353-2769",
            "fax_number": "951-353-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE ASSOCIATES OF RIVERSIDE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-353-2769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.