Pristine Medical Group

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRISTINE MEDICAL GROUP

Practice address

1890 N Garey Ave
Suite #B
Pomona, CA 91767-2923

Phone

(909) 626-0444

Fax

(909) 629-0446

NPI assigned

Nov 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gabriela Rios

Title

Administrator

Phone

(909) 629-0444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1689855975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 N GAREY AVE",
            "address_2": "SUITE #B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672923",
            "telephone_number": "909-626-0444",
            "fax_number": "909-629-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N GAREY AVE",
            "address_2": "SUITE #B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672923",
            "telephone_number": "909-626-0444",
            "fax_number": "909-629-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-629-0444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Priestly
• Jessica Prieto, BA
• Primary Critical Care Limited Partnership
• Primary Reliance Inc
• Prime One Care LLC
• Sandy Priyawat, DDS
• Pro Angels Inc
• Pro-Health Community Care
• Vikki Lauran Prochorchik
• Eric Proctor

• Orthopaedic Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.