Pinnacle Medical Group, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20682 Issued in CA

Legal business name

PINNACLE MEDICAL GROUP, INC

Practice address

1850 N Riverside Ave Ste 240
Rialto, CA 92376-8082

Phone

(909) 427-9960

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Charles Sabbah, M.D.

Title

Medical Director

Phone

(909) 881-4115

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pinnacle Medicl Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Medical Group, Inc.

  • Family Medicine Physician
  • Rialto, CA
  • NPI 1295778058
  NPD tax ID
• Pinnacle Medical Group, Inc.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1447292248
  NPD tax ID

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1548535446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12209",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924232209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 240",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "909-427-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "SABBAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-881-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ14739Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roderick Phillips
• Aubrey Simone Picciolo
• Chiyan Denise Pierce
• Michelle Pierce, SWII
• Kitzia Annete Pineda
• Pinnacle Medical Group, Inc.
• Pinon Dialysis LLC (Rialto Home Training)
• Cheryl Placide, MFT
• Emily Darline Plata
• Christina M Poffenberger, BS

• Family Nurse Practitioner in Rialto, CA
• Providers in Rialto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.