Michael F Bishara MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A43206 Issued in CA

Legal business name

MICHAEL F BISHARA MD INC

Practice address

6896 Magnolia Ave
Riverside, CA 92506-2843

Phone

(951) 787-4885

Fax

(951) 787-4962

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Michael F BisharaNPI 1144311044

Title

Owner

Phone

(951) 787-4885

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michael F Bishara MD Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael F Bishara, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Riverside, CA
  • NPI 1144311044
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1720200850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-787-4885",
            "fax_number": "951-787-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6896 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-787-4885",
            "fax_number": "951-787-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F BISHARA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-787-4885"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43206",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A43206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A32060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael F Bishara MD Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MGM Physician Assistant Inc
• Slikelle Mi Angwe
• Mi Care Inc
• Derek Miao, PHARM.D.
• Michael Cho Dental Corporation
• Michael J del Rio MD Inc
• Michael Robert Schroeder
• Michael Van Inc.
• Michael Vincent Laureola DDS Inc
• Helina Michael, PA

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.