NPIMap

Organization Active NPI

Temecula Center of Integrative Medicine LLC

  • Family Medicine Physician
  • Temecula, CA
National Provider Identifier
1669891834
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEMECULA CENTER OF INTEGRATIVE MEDICINE LLC
Practice address
27450 Ynez Rd
100
Temecula, CA 92591-4671
Phone
(951) 383-4333
Fax
(951) 506-2361
NPI assigned
Apr 15, 2014
Last updated
Aug 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Authorized official

Name
Brian Richard Fox
Title
Cfo
Phone
(619) 370-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

27450 Ynez Rd
100
Temecula, CA 92591-4671

Mailing address

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone (951) 383-4333

National Provider Directory

National Provider Directory

Locations

27450 Ynez Rd
Ste 100
Temecula, CA 92591
Phone (951) 302-6664

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1669891834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914649",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA CENTER OF INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-370-1001"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.