NPIMap

Organization Active NPI

Hemet Radiology Medical Group, Inc.

  • Specialist
  • Hemet, CA
National Provider Identifier
1619943537
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEMET RADIOLOGY MEDICAL GROUP, INC.
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(951) 652-2811
Fax
(951) 765-4986
NPI assigned
Feb 28, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Frederick Eugene White, D.O.NPI 1003851130
Title
Medical Director / President
Phone
(951) 765-5417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

235 Laursen St
Hemet, CA 92543-4437
Phone (951) 765-5417

Other identifiers 7

IdentifierTypeStateIssuer
GR0051940MedicaidCA
GR0051943MedicaidCA
CH1170OtherCARAILROAD MEDICARE
CU0238OtherCARAILROAD MEDICARE
GR0051941MedicaidCA
GR0051942MedicaidCA
GR0051944MedicaidCA

National Provider Directory

National Provider Directory

Locations

225 N San Jacinto St
#7
Hemet, CA 92543
Phone (909) 766-4411

235 Laursen St
Hemet, CA 92543
Phone (951) 765-5417

995 Saint John Pl
Hemet, CA 92543
Phone (909) 929-4674

44274 George Cushman Ct
Ste 108
Temecula, CA 92592
Phone (909) 929-9688

36450 Inland Valley Dr
Ste 106
Wildomar, CA 92595
Phone (909) 677-3192

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1619943537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 LAURSEN ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434437",
            "telephone_number": "951-765-5417",
            "fax_number": "951-765-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-652-2811",
            "fax_number": "951-765-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMET RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "951-765-5417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051940",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051943",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH1170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CU0238",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051941",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051942",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.