Organization Active NPI

Three Angels Medical Prof Corp

  • Specialist
  • Perris, CA
National Provider Identifier
1477949709
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A102591 Issued in CA
Legal business name
THREE ANGELS MEDICAL PROF CORP
Practice address
99 Business Park Dr
Perris, CA 92571-3165
Phone
(951) 956-2131
Fax
(951) 956-2150
NPI assigned
Apr 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
David Hernandez, M.D
Title
Ceo
Phone
(951) 956-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A102591 CA Primary

Addresses

Primary practice location

99 Business Park Dr
Perris, CA 92571-3165

Mailing address

99 Business Park Dr
Perris, CA 92571-3165
Phone (951) 956-2131

Other identifiers 1

IdentifierTypeStateIssuer
207R00000XOtherCAINTERNAL MEDICINE

National Provider Directory

National Provider Directory

Locations

180 E 4th St
Ste B
Perris, CA 92570
Phone (951) 956-2131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1477949709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713165",
            "telephone_number": "951-956-2131",
            "fax_number": "951-956-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BUSINESS PARK DR",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713165",
            "telephone_number": "951-956-2131",
            "fax_number": "951-956-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ANGELS MEDICAL PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-956-2131",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A102591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL MEDICINE",
            "identifier": "207R00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.