MD Senior Care Medical Group, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

MD SENIOR CARE MEDICAL GROUP, INC.

Practice address

99 Business Park Dr
Perris, CA 92571-3165

Phone

(951) 956-2131

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Hernandez-Rodriguez, MDNPI 1083664858

Title

President

Phone

(951) 956-2131

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• David Hernandez-Rodriguez, MD

  • Internal Medicine Physician
  • Perris, CA
  • NPI 1083664858
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1447908264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713165",
            "telephone_number": "951-956-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713165",
            "telephone_number": "951-956-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SENIOR CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-RODRIGUEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-956-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawne McKnight
• Thomas McKnight, LMFT
• Desiree McLaughlin, LMFT 105097
• Lisa McMoran, ASW77052
• Christine M McNees-Kelly, CATC
• Kimberly Ann Medcraft
• Erika Medina de Flores
• Medperx Pharmacy LLC
• Meds Envy, Inc.
• Adriana Patricia Mejia, M.S., LMFT

• Exclusive Provider Organization in Perris, CA
• Providers in Perris, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.