Organization Active NPI

Pilar J Condry, MD,Inc

  • Specialist
  • Moreno Valley, CA
National Provider Identifier
1306099932
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A044231 Issued in CA
Legal business name
PILAR J CONDRY, MD,INC
Practice address
14114 Business Center Dr Ste B
Moreno Valley, CA 92553-9113
Phone
(951) 697-5777
Fax
(951) 697-5780
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dr. Pilar J Condry, M.D.NPI 1669563748
Title
President
Phone
(951) 697-5777

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A044231 CA Primary

Addresses

Primary practice location

14114 Business Center Dr Ste B
Moreno Valley, CA 92553-9113

Mailing address

14114 Business Center Dr Ste B
Moreno Valley, CA 92553-9113
Phone (951) 697-5777

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0893246Pilar J Condry MD Inc14114 Business Ctr Dr Suite B, Moreno Valley, CA 92553Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

14114 Business Center Dr
Ste B
Moreno Valley, CA 92553
Phone (951) 697-5777

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1306099932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 BUSINESS CENTER DR STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539113",
            "telephone_number": "951-697-5777",
            "fax_number": "951-697-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 BUSINESS CENTER DR STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539113",
            "telephone_number": "951-697-5777",
            "fax_number": "951-697-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILAR J CONDRY, MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "CONDRY",
        "authorized_official_first_name": "PILAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-697-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A044231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.