Active NPI
Idyllwild Health Center
- Internal Medicine Physician
- Idyllwild, CA
National Provider Identifier
1407964489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IDYLLWILD HEALTH CENTER
- Practice address
- 54910 Pinecrest Ave
Idyllwild, CA 92549 - Phone
- (951) 659-4908
- Fax
- (951) 659-2984
- NPI assigned
- Aug 29, 2006
- 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
- Kamran Qureshi, M.D.
- Title
- President
- Phone
- (951) 659-4908
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
54910 Pinecrest Ave
Idyllwild, CA 92549
Mailing address
PO Box 3152
Idyllwild, CA 92549-3152
Phone (951) 659-4908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1326156472
-
- Family Nurse Practitioner
- Aguanga, CA
- NPI 1801432513
-
- Family Nurse Practitioner
- Idyllwild, CA
- NPI 1528821980
-
- Family Nurse Practitioner
- Riverside, CA
- NPI 1699429704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1407964489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3152",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "925493152",
"telephone_number": "951-659-4908",
"fax_number": "951-659-2984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54910 PINECREST AVE",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "92549",
"telephone_number": "951-659-4908",
"fax_number": "951-659-2984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDYLLWILD HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "QURESHI",
"authorized_official_first_name": "KAMRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-659-4908",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idyllwild, CA
- Gail Harriss
- Cynthia Harlowe, RN
- Marlin Wayne Harris, PT
- Idyllwild Community Acupuncture & Bodywork, Inc.
- Idyllwild Fire Protection District
- Kelly Lovejoy, Licensed Clinical Social Worker, P.C.
- Kris' Camp/ Therapy Intensive Programs, Inc
- Jennifer J Leong, LMFT
- Kelly Lovejoy, LCSW
- Mareea McClain, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.