Organization Active NPI

Ruth Chambi Hernandez

  • Family Medicine Physician
  • Perris, CA
National Provider Identifier
1669675443
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87453 Issued in CA
Legal business name
RUTH CHAMBI HERNANDEZ
Practice address
333 Wilkerson Ave
Suites B&C
Perris, CA 92570-2211
Phone
(951) 956-2131
Fax
(951) 956-2151
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Ruth Hernandez Chambi, MD
Title
Owner
Phone
(951) 956-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A87453 CA Primary

Addresses

Primary practice location

333 Wilkerson Ave
Suites B&C
Perris, CA 92570-2211

Mailing address

11591 Waterwell CT
Riverside, CA 92505-5117
Phone (951) 956-2131

Other identifiers 1

IdentifierTypeStateIssuer
00A874530MedicaidCA

Other names 1

  • THREE ANGELS FAMILY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

333 Wilkerson Ave
Perris, CA 92570
Phone (951) 956-2131

Practitioners & affiliated clinicians

Practitioners 1

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1669675443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11591 WATERWELL CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925055117",
            "telephone_number": "951-956-2131",
            "fax_number": "951-956-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WILKERSON AVE",
            "address_2": "SUITES B&C",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702211",
            "telephone_number": "951-956-2131",
            "fax_number": "951-956-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH CHAMBI HERNANDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ CHAMBI",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-956-2131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A874530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE ANGELS FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.