Ivy Springs Medical Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3121213 Issued in CA

Legal business name

IVY SPRINGS MEDICAL CARE INC

Practice address

41680 Ivy St
Suite a
Murrieta, CA 92562-9434

Phone

(951) 677-2227

Fax

(951) 677-4462

NPI assigned

Oct 29, 2008

Last updated

Dec 19, 2008By 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

Bach Kim Nguyen, M.D.NPI 1427076546

Title

President

Phone

(951) 677-2227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Bach K Nguyen, M.D

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1427076546
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229644800000",
    "number": "1477706844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41680 IVY ST",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629434",
            "telephone_number": "951-677-2227",
            "fax_number": "951-677-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41680 IVY ST",
            "address_2": "SUITE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629434",
            "telephone_number": "951-677-2227",
            "fax_number": "951-677-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY SPRINGS MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-12-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BACH",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-677-2227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "3121213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameelah Israel
• Nobuyasu Itakura
• Stephen Mitsuru Ito, D.C.
• Heidi Colleen Ivanovich, LMT
• Antony Ivey
• Gordon Iwasaki, PA
• J Carter Corporation (Diamond RCFE of Murrieta)
• J Keyes Eto Inc
• Jack J Druet, MD, Inc.
• Danielle Jack

• Family Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.