Willie Citrin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00G33413 Issued in CA

Practice address

3975 Jackson St Suite 203
Riverside, CA 92503-3947

Phone

(951) 689-6200

Fax

(951) 689-0351

NPI assigned

Mar 24, 2006

Last updated

May 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willie Citrin MD Inc

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1528257763
  Authorized official Same address or phone

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1558321497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033947",
            "telephone_number": "951-689-6200",
            "fax_number": "951-689-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST SUITE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033947",
            "telephone_number": "951-689-6200",
            "fax_number": "951-689-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRIN",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00G33413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Cisneros
• Fidencio Fernandez Cisneros Jr.
• Jenny Cisneros
• Mark Gerard Cisneros, MFT
• Odalys Liliana Cisneros
• Citrus City Family Counseling
• Citrus Crest Family Counseling Inc.
• Citrus Home Care LLC
• City of Riverside
• Allison Claassen, MS, PA-C

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.