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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A362361
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roswitha Elisabeth Breuer, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A362360 | Medicaid | CA |
Other names 1
- Roswitha Breuer MD a Professional Medical Corporation
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Perris, CA
- NPI 1316016389
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.