Active NPI
Primary Critical Care Limited Partnership
- Pulmonary Disease Physician
- Colton, CA
National Provider Identifier
1467410134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1000
- NPI assigned
- May 3, 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
- Bruce T Gipe, MD
- Title
- President and General Partner
- Phone
- (818) 509-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
PO Box 998
North Hollywood, CA 91603-0998
Phone (818) 509-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088733 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841
11313 Weddington St
#1715
North Hollywood, CA 91601
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Camarillo, CA
- NPI 1356499156
-
- Pediatric Surgery Physician
- Palo Alto, CA
- NPI 1487725206
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Los Angeles, CA
- NPI 1568514925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241481600000",
"number": "1467410134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 998",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916030998",
"telephone_number": "818-509-2222",
"fax_number": "818-761-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CRITICAL CARE LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2009-05-05",
"status": "A",
"authorized_official_last_name": "GIPE",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT AND GENERAL PARTNER",
"authorized_official_telephone_number": "818-509-2222",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088733",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.