Individual provider Active NPI

Jatin N. Amin, MD

  • Cardiovascular Disease Physician
  • Riverside, CA
National Provider Identifier
1720021397
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G82118 Issued in CA
Practice address
3770 Elizabeth St
Riverside, CA 92506-2527
Phone
(951) 352-3937
Fax
(951) 352-2839
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G82118 CA Primary

Addresses

Primary practice location

3770 Elizabeth St
Riverside, CA 92506-2527

Mailing address

3770 Elizabeth St
Riverside, CA 92506-2527
Phone (951) 352-3937

Other identifiers 1

IdentifierTypeStateIssuer
00G821180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Cardiology Specialists Medical Group, Inc. CurrentSince Oct 11, 2016 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
St Luke Cardiovascular Medical Group Cardiovascular Disease PastSince Jun 21, 2001 Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

830 Magnolia Ave
Ste 101
Corona, CA 92879

3853 W Stetson Ave
Ste 104
Hemet, CA 92545

39755 Murrieta Hot Springs Rd
Bldg G
Murrieta, CA 92563

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

3770 Elizabeth St
Riverside, CA 92506
Phone (951) 237-7331

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1720021397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062527",
            "telephone_number": "951-352-3937",
            "fax_number": "951-352-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 ELIZABETH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062527",
            "telephone_number": "951-352-3937",
            "fax_number": "951-352-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "JATIN",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G82118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G821180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.