Organization Active NPI

Temecula Medical Corporaion

  • General Practice Physician
  • Temecula, CA
National Provider Identifier
1457657389
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TEMECULA MEDICAL CORPORAION
Practice address
41715 Winchester Rd Ste 102
Temecula, CA 92590-4853
Phone
(951) 308-4451
Fax
(951) 506-0992
NPI assigned
Feb 10, 2011
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Mr. Steven Joseph SchutzNPI 1376727925
Title
Physician Assistant
Phone
(951) 308-4451

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CA Primary

Addresses

Primary practice location

41715 Winchester Rd Ste 102
Temecula, CA 92590-4853

Mailing address

41715 Winchester Rd Ste 102
Temecula, CA 92590-4853
Phone (951) 308-4451

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1457657389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904853",
            "telephone_number": "951-308-4451",
            "fax_number": "951-506-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904853",
            "telephone_number": "951-308-4451",
            "fax_number": "951-506-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA MEDICAL CORPORAION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "SCHUTZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "951-308-4451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.