Redlands Yucaipa Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REDLANDS YUCAIPA MEDICAL GROUP, INC.

Practice address

33423 Yucaipa Blvd
Suite D
Yucaipa, CA 92399-2064

Phone

(909) 790-7070

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Walter Jones III, MDNPI 1164593372

Title

President

Phone

(909) 790-7070

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Walter Jones III, M.D.

  • Internal Medicine Physician
  • Yucaipa, CA
  • NPI 1164593372
  NPD (past) Authorized official

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1316219868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33423 YUCAIPA BLVD",
            "address_2": "SUITE D",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992064",
            "telephone_number": "909-790-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33423 YUCAIPA BLVD",
            "address_2": "SUITE D",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992064",
            "telephone_number": "909-790-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDLANDS YUCAIPA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-790-7070",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Board & Care
• Linda R Ramirez, DOULA
• Edgar Ricardo Ramos Maldonado, MD
• Richard Robert Ramos, D.D.S.
• Tracy Rangel
• Shelley Marie Regester, MPT
• Kary Rekstad
• Courtney Lynn Remery, AMFT
• Renal Treatment Centers California Inc (Yucaipa Dialysis Center)
• Ana Rosa Resendiz

• Family Medicine Physician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.