Individual provider Active NPI

Bryan Hovan To, M.D.

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1407948474
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84344 Issued in CA
Practice address
24910 Las Brisas Rd
Suite 120
Murrieta, CA 92562-4010
Phone
(951) 677-9898
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84344 CA Primary

Addresses

Primary practice location

24910 Las Brisas Rd
Suite 120
Murrieta, CA 92562-4010

Mailing address

24910 Las Brisas Rd
Suite 120
Murrieta, CA 92562-4010
Phone (951) 677-9898

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ01356ZOtherCAGROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000159 CA Practitioner - Internal Medicine 0042265324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24910 Las Brisas Rd
Suite 120
Murrieta, CA 92562-4035
Phone (951) 677-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84344CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Care Medical Group, Inc. Internal Medicine CurrentSince Aug 10, 2004 Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

2705 S Diamond Bar Blvd
Ste 258
Diamond Bar, CA 91765
Phone (909) 861-9888

24910 Las Brisas Rd
Ste 120
Murrieta, CA 92562
Phone (909) 988-1000

24910 Las Brisas Rd
Murrieta, CA 92562
Phone (951) 249-3622

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1407948474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 120",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-677-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 120",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-677-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "BRYAN",
        "middle_name": "HOVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "ZZZ01356Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.