Organization Active NPI

Number One California Hispano Medical Center, Inc

  • Health Service Clinic/Center
  • Riverside, CA
National Provider Identifier
1306044680
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NUMBER ONE CALIFORNIA HISPANO MEDICAL CENTER, INC
Practice address
4010 Mission Inn Ave
Riverside, CA 92501-3205
Phone
(951) 784-4772
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Edwin H Pasuhuk, M.D.
Title
Medical Director
Phone
(951) 784-4772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4010 Mission Inn Ave
Riverside, CA 92501-3205

Mailing address

4010 Mission Inn Ave
Riverside, CA 92501-3205
Phone (951) 784-4772

Other identifiers 1

IdentifierTypeStateIssuer
00A396660MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1306044680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MISSION INN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013205",
            "telephone_number": "951-784-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MISSION INN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013205",
            "telephone_number": "951-784-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUMBER ONE CALIFORNIA HISPANO MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PASUHUK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-784-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A396660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

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