Organization Active NPI

Connect2Md Medical Group, Inc.

  • Specialist
  • Riverside, CA
National Provider Identifier
1679014799
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONNECT2MD MEDICAL GROUP, INC.
Doing business as
Connect2MD Medical Group, Inc.
Practice address
1485 Spruce St Ste P
Riverside, CA 92507-7421
Phone
(951) 680-0066
NPI assigned
Mar 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Mr. Abdul L. Saquib
Title
Management
Phone
(714) 678-9725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1485 Spruce St Ste P
Riverside, CA 92507-7421

Mailing address

2500 E Ball Rd Ste 200
Anaheim, CA 92806-5063

Other names 1

  • Connect2MD Medical Group, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1679014799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E BALL RD STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 SPRUCE ST STE P",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077421",
            "telephone_number": "951-680-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT2MD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "SAQUIB",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "714-678-9725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect2MD Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2017; 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.