Inland Physiatry Medical Group, Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A61529 Issued in CA

Legal business name

INLAND PHYSIATRY MEDICAL GROUP, INC.

Practice address

900 E Washington St Ste 100
Colton, CA 92324-4120

Phone

(951) 506-5049

Fax

(951) 296-1098

NPI assigned

Jul 25, 2006

Last updated

Aug 31, 2013By 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

Vance Zachary Johnson, M.D.

Title

President/Ceo

Phone

(951) 506-5049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377907200000",
    "number": "1538181573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD STE 342",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-506-5049",
            "fax_number": "951-296-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E WASHINGTON ST STE 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244120",
            "telephone_number": "951-506-5049",
            "fax_number": "951-296-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND PHYSIATRY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-08-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "ZACHARY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "951-506-5049",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A61529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Caregiver Resource Center
• Inland Empire Anesthesia Medical Group, Inc
• Inland Empire Medical Group Inc.
• Inland Empire Nephrology, Inc.
• Inland Eye Institute Medical Group Inc
• Inland Rehabilitation Medical Group, Inc.
• Inland Valley Drug and Alcohol Recovery Services (Inland Valley Recovery Services)
• Froilan Perez Inocencio
• Brandon Inostroza, SLPA
• Victor Irabor

• Interventional Pain Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2013; 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.