Organization Active NPI

Adnan Misellati, M.D., Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1659735967
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A115540 Issued in CA
Legal business name
ADNAN MISELLATI, M.D., INC
Practice address
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(541) 912-9551
Fax
(909) 256-2488
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Dr. Adnan Misellati, M.D.
Title
President
Phone
(514) 912-9551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A115540 CA Primary

Addresses

Primary practice location

4445 Magnolia Ave
Riverside, CA 92501-4135

Mailing address

25925 Barton Rd Unit 1181
Loma Linda, CA 92354-5656

National Provider Directory

National Provider Directory

Locations

25925 Barton Rd
Unit 1181
Loma Linda, CA 92354

355 E 21st St
Ste G
Sn Bernrdno, CA 92404
Phone (909) 882-1618

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1659735967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25925 BARTON RD UNIT 1181",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923545656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014135",
            "telephone_number": "541-912-9551",
            "fax_number": "909-256-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADNAN MISELLATI, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "MISELLATI",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "514-912-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A115540",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 15, 2016; 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.