Avocado Medical Clinic Professional Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A45183 Issued in CA

Legal business name

AVOCADO MEDICAL CLINIC PROFESSIONAL CORP

Practice address

126 Avocado Ave
Perris, CA 92571-2605

Phone

(951) 943-7212

NPI assigned

Apr 5, 2016

Organization subpart

No

Name

Ernesto Tiznado-Garcia

Title

Owner

Phone

(951) 943-7212

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

• Jordan Alexandra Valle, FNP-BC

  • Family Nurse Practitioner
  • Perris, CA
  • NPI 1982533378
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2016.

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1396108403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 AVOCADO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AVOCADO AVE",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712605",
            "telephone_number": "951-943-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVOCADO MEDICAL CLINIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "TIZNADO-GARCIA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-943-7212"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A45183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Perris, CA
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.