Inland Empire Urology Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A43577 Issued in CA

Legal business name

INLAND EMPIRE UROLOGY MEDICAL GROUP INC

Practice address

4500 Brockton Ave
Suite 204
Riverside, CA 92501-4090

Phone

(951) 683-7620

Fax

(951) 683-3052

NPI assigned

Mar 31, 2006

Last updated

Nov 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy John Pietro, M.D.

Title

M.D.

Phone

(951) 683-7620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1457312175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "SUITE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-683-7620",
            "fax_number": "951-683-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE",
            "address_2": "SUITE 204",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014090",
            "telephone_number": "951-683-7620",
            "fax_number": "951-683-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE UROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "PIETRO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "951-683-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Empire Multi-Cultural Counseling
• Inland Empire Multispecialty Group PC (Magnolia OB/GYN Clinic)
• Inland Empire Multispecialty Group PC (Multispecialty Medical Group-Nephrology)
• Inland Empire Multispecialty Group PC (Riverside Multispecialty Medical Group)
• Inland Empire Occupational Medical Group Inc.
• Inland Faculty Specialists, a California Professional Corporation
• Inland First Assist Inc
• Inland Grace Adult Day Health Care Center
• Inland Hospitalists Med GP
• Inland Medical Response, Inc.

• Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.