Organization Active NPI

Pliev Enterprises

  • General Practice Physician
  • Ontario, CA
National Provider Identifier
1477861995
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PLIEV ENTERPRISES
Practice address
633 W State St
Suite H
Ontario, CA 91762-4200
Phone
(909) 988-1400
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Magomed Pliev
Title
Owner
Phone
(909) 988-1400

Specialties & licenses 1

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

Addresses

Primary practice location

633 W State St
Suite H
Ontario, CA 91762-4200

Mailing address

633 W State St
Suite H
Ontario, CA 91762-4200
Phone (909) 988-1400

National Provider Directory

National Provider Directory

Locations

633 W State St
Ste H
Ontario, CA 91762
Phone (909) 988-1400

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1477861995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W STATE ST",
            "address_2": "SUITE H",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917624200",
            "telephone_number": "909-988-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W STATE ST",
            "address_2": "SUITE H",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917624200",
            "telephone_number": "909-988-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLIEV ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "PLIEV",
        "authorized_official_first_name": "MAGOMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-988-1400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.