Spectrum Clinical Research Institute Inc

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

A51194 Issued in CA

Legal business name

SPECTRUM CLINICAL RESEARCH INSTITUTE INC

Practice address

12810 Heacock St
Suite B210
Moreno Valley, CA 92553-2854

Phone

(951) 601-2363

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

George A Ponce, MD

Title

Owner

Phone

(951) 601-2363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1326315573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "SUITE B210",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-601-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "SUITE B210",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-601-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CLINICAL RESEARCH INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-601-2363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "A51194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sward Southall, FNP
• Southern California Emergency Medicine
• Stephen T. Sparks, MD
• Celia Mae Spears, LVN
• Special Service for Groups, Inc.
• Brittany Noel Speer, PA
• Kyle Joseph Spengler
• Spring Creek Oasis
• Spring Meadow Hospice Care, Inc
• Bonnie Springer, OTR/L

• Research Study Specialist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.