Organization Active NPI

Thorocor Medical Enterprises, Inc.

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1508012576
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G43151 Issued in CA
Legal business name
THOROCOR MEDICAL ENTERPRISES, INC.
Practice address
3903 Brockton Ave
Suite Two
Riverside, CA 92501-3212
Phone
(951) 367-7600
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Ancel J. Rogers, M.D.NPI 1578673489
Title
President
Phone
(951) 367-7600

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
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G43151 CA Primary

Addresses

Primary practice location

3903 Brockton Ave
Suite Two
Riverside, CA 92501-3212

Mailing address

PO Box 1475
San Juan Capistrano, CA 92693-1475
Phone (951) 367-7600

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1508012576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926931475",
            "telephone_number": "951-367-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 BROCKTON AVE",
            "address_2": "SUITE TWO",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013212",
            "telephone_number": "951-367-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOROCOR MEDICAL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ANCEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-367-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G43151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.