Organization Active NPI

Larry H Couture MD Inc

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1679582258
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63843 Issued in CA
Legal business name
LARRY H COUTURE MD INC
Practice address
6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858
Phone
(951) 682-9911
NPI assigned
Aug 5, 2006
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Dr. Larry H Couture, MD
Title
Physician
Phone
(951) 682-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63843 CA Primary

Addresses

Primary practice location

6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858

Mailing address

6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858
Phone (951) 682-9911

Other identifiers 1

IdentifierTypeStateIssuer
00A638430MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060202000697 CA Part B Supplier - Clinic/Group Practice 7810901477 Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

6848 Magnolia Ave
Ste 250
Riverside, CA 92506
Phone (909) 682-1622

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1679582258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-682-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-682-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY H COUTURE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-682-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A638430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.