Organization Active NPI

Edwards Pintelon Medical Associates Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1578562534
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C37092 Issued in CA
Legal business name
EDWARDS PINTELON MEDICAL ASSOCIATES INC
Practice address
8990 Garfield St
Ste 6
Riverside, CA 92503-3922
Phone
(951) 354-2577
Fax
(951) 354-7583
NPI assigned
Jul 20, 2005
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Irene Lopez
Title
Office Manager
Phone
(951) 354-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C37092 CA Primary

Addresses

Primary practice location

8990 Garfield St
Ste 6
Riverside, CA 92503-3922

Mailing address

8990 Garfield St
Ste 6
Riverside, CA 92503-3922
Phone (951) 354-2577

Other identifiers 1

IdentifierTypeStateIssuer
00C370920MedicaidCA

National Provider Directory

National Provider Directory

Locations

8990 Garfield St
Ste 6
Riverside, CA 92503
Phone (951) 343-1616

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1578562534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 GARFIELD ST",
            "address_2": "STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033922",
            "telephone_number": "951-354-2577",
            "fax_number": "951-354-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 GARFIELD ST",
            "address_2": "STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033922",
            "telephone_number": "951-354-2577",
            "fax_number": "951-354-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS PINTELON MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "951-354-2577"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C37092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C370920",
            "state": "CA"
        }
    ],
    "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 21, 2007; 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.