Active NPI
Inpatient Care of Southern California Inc
- Hospitalist Physician
- Brawley, CA
National Provider Identifier
1629409016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- INPATIENT CARE OF SOUTHERN CALIFORNIA INC
- Practice address
- 751 W Legion Rd
105
Brawley, CA 92227-7732 - Phone
- (760) 344-7976
- Fax
- (760) 344-7106
- NPI assigned
- Dec 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hossein M Ebneshahidi, MD
- Title
- Treasurer
- Phone
- (760) 344-7976
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
751 W Legion Rd
105
Brawley, CA 92227-7732
Mailing address
751 W Legion Rd
105
Brawley, CA 92227-7732
Phone (760) 344-7976
National Provider Directory
National Provider DirectoryLocations
751 W Legion Rd
Ste 105
Brawley, CA 92227
Phone (760) 344-8750
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- El Centro, CA
- NPI 1114980471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1629409016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 W LEGION RD",
"address_2": "105",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277732",
"telephone_number": "760-344-7976",
"fax_number": "760-344-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 W LEGION RD",
"address_2": "105",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277732",
"telephone_number": "760-344-7976",
"fax_number": "760-344-7106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INPATIENT CARE OF SOUTHERN CALIFORNIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-10",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "EBNESHAHIDI",
"authorized_official_first_name": "HOSSEIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "760-344-7976",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.