Active NPI
Pilar J Condry, M.D.
- Pediatric Adolescent Medicine Physician
- Moreno Valley, CA
National Provider Identifier
1669563748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- A044231
- Practice address
- 14114 Business Center Dr
Suite B
Moreno Valley, CA 92553-9113 - Phone
- (951) 697-5777
- Fax
- (951) 697-5780
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | A044231 | CA | Primary |
Addresses
Primary practice location
14114 Business Center Dr
Suite B
Moreno Valley, CA 92553-9113
Mailing address
14114 Business Center Dr
Suite B
Moreno Valley, CA 92553-9113
Phone (951) 697-5777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A044231 | CA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pilar J Condry, MD,Inc | Past | Accepting new patients |
Interoperability endpoints
- pilarcondry@pjcmdi.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Moreno Valley, CA
- NPI 1306099932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669563748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR",
"address_2": "SUITE B",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-697-5777",
"fax_number": "951-697-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14114 BUSINESS CENTER DR",
"address_2": "SUITE B",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925539113",
"telephone_number": "951-697-5777",
"fax_number": "951-697-5780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDRY",
"first_name": "PILAR",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "CA",
"license": "A044231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Community Dental Services (SmileCare Dental Group)
- Community Health Systems, Inc. (Moreno Valley Family Health Center)
- Compassionate Senior Solutions LLC
- Marinor Anne Marcelo Concepcion, DO
- Sophia Daniela Conde, MSW
- Denenea Conner-Tillman, LCSW
- Felicia Christina Conover, LMFT
- Consumerhealth, Inc. (Newport Dental - Moreno Beach)
- Consumerhealth, Inc. (Newport Dental - Moreno Valley (ORTHO))
- Consumerhealth, Inc. (Newport Dental - Moreno Valley (ORTHO))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.