Organization Active NPI

Roswitha Breuer a Professional Medical Corporation

Doing business as Roswitha Breuer MD a Professional Medical Corporation

  • Primary Care Clinic/Center
  • Perris, CA
National Provider Identifier
1396084307
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A362361 Issued in CA
Legal business name
ROSWITHA BREUER A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Roswitha Breuer MD a Professional Medical Corporation
Practice address
146 E 4TH St
Perris, CA 92570-2125
Phone
(951) 956-2152
Fax
(951) 956-2154
NPI assigned
Feb 11, 2013
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Roswitha Elisabeth Breuer, MDNPI 1316016389
Title
Owner
Phone
(951) 956-2152

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
Primary Care Clinic/Center 261QP2300X A362361 CA Primary

Addresses

Primary practice location

146 E 4TH St
Perris, CA 92570-2125

Mailing address

146 E 4TH St
Perris, CA 92570-2125
Phone (951) 956-2152

Other identifiers 1

IdentifierTypeStateIssuer
00A362360MedicaidCA

Other names 1

  • Roswitha Breuer MD a Professional Medical Corporation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1396084307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702125",
            "telephone_number": "951-956-2152",
            "fax_number": "951-956-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702125",
            "telephone_number": "951-956-2152",
            "fax_number": "951-956-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWITHA BREUER A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "ROSWITHA",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-956-2152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A362361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A362360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswitha Breuer MD a Professional Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.