Gary M. Feinberg, MD, Facs, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G58691 Issued in CA

Legal business name

GARY M. FEINBERG, MD, FACS, INC.

Practice address

6950 Brockton Ave
Suite 3
Riverside, CA 92506-3831

Phone

(951) 788-1447

Fax

(951) 788-1485

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gary Mitchell Feinberg, M.D.

Title

Owner/President

Phone

(951) 788-1447

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366557910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 BROCKTON AVE",
            "address_2": "SUITE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063831",
            "telephone_number": "951-788-1447",
            "fax_number": "951-788-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 BROCKTON AVE",
            "address_2": "SUITE 3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063831",
            "telephone_number": "951-788-1447",
            "fax_number": "951-788-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY M. FEINBERG, MD, FACS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEINBERG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "951-788-1447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G58691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1730187881",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.