Mission Medical Associates, Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MISSION MEDICAL ASSOCIATES, INC.

Practice address

6276 River Crest Dr
Riverside, CA 92507-0783

Phone

(951) 413-0979

NPI assigned

Apr 28, 2010

Last updated

Apr 28, 2010By 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

Randolph Taylor

Title

Secretary

Phone

(949) 870-3617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1609193705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 SW ACACIA ST STE 110",
            "address_2": "ATTN: R TAYLOR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600781",
            "telephone_number": "949-870-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 RIVER CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070783",
            "telephone_number": "951-413-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-870-3617"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Dental Center
• Mission Grove Medical Corporation (Urgent Care Clinic)
• Mission Health Management Associates LLC
• Mission Inn Senior Living LLC (The Grove Assisted Living)
• Mission Lake Chiropractic Center
• Mission Medical Clinic
• Mission Surgical Center Inc
• Mission Surgical Clinic, Inc.
• Mission Surgical Group
• Mission Urology, Inc. (Mission Urology)

• Pain Medicine (Anesthesiology) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.