Organization Active NPI

Citrus Valley Physician Partners

  • Specialist
  • Glendora, CA
National Provider Identifier
1659870228
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CITRUS VALLEY PHYSICIAN PARTNERS
Practice address
412 W Carroll Ave Ste 107
Glendora, CA 91741-4708
Phone
(626) 914-4890
NPI assigned
Feb 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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

Authorized official

Name
Christine Haddad
Title
Assist. Director of Ambulatory Bus.
Phone
(626) 732-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

412 W Carroll Ave Ste 107
Glendora, CA 91741-4708

Mailing address

1325 N Grand Ave Ste 300
Covina, CA 91724-4046
Phone (626) 732-3159

National Provider Directory

National Provider Directory

Locations

1325 N Grand Ave
Ste 300
Covina, CA 91724

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1659870228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N GRAND AVE STE 300",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917244046",
            "telephone_number": "626-732-3159",
            "fax_number": "626-732-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 107",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414708",
            "telephone_number": "626-914-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS VALLEY PHYSICIAN PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASSIST. DIRECTOR OF AMBULATORY BUS.",
        "authorized_official_telephone_number": "626-732-3159"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.