Practice Holdings LP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A054049 Issued in CA

Legal business name

PRACTICE HOLDINGS LP

Practice address

41511 E Florida Ave
Hemet, CA 92544-5802

Phone

(951) 658-3227

Fax

(951) 652-6267

NPI assigned

Aug 7, 2006

Organization subpart

No

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

Authorized official

Name

Stephen E McKenzie, M.D.

Title

Owner

Phone

(951) 658-3227

Specialties & licenses 1

Addresses

Other names 1

• VALLEY MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619986577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41511 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445802",
            "telephone_number": "951-658-3227",
            "fax_number": "951-652-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41511 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445802",
            "telephone_number": "951-658-3227",
            "fax_number": "951-652-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE HOLDINGS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-658-3227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A054049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Porter, NURSE PRACTITIONER
• Yadira Nohemi Portillo, MFTI
• Lissa-Ann Portorreal, PT
• Indhira Pozo-Gordon
• Ryan Gatmaitan Pozon, MD
• Keerthana Prakash
• Aaron D Pratt, CADC 2
• Preferred Hearing Healthcare, Inc.
• Premier Surgical Associates Inc
• Emelita Morales Price

• Family Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.