Organization Active NPI

Pacific Family Medical Inc

  • Primary Care Clinic/Center
  • Riverside, CA
National Provider Identifier
1740878768
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PACIFIC FAMILY MEDICAL INC
Practice address
191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095
Phone
(951) 338-9707
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Darren ThompsonNPI 1942513734
Title
Doctor
Phone
(909) 222-9775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095

Mailing address

9818 Camino del Coronado
Moreno Valley, CA 92557-3549

National Provider Directory

National Provider Directory
Tax ID family
Night Owl Family Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1740878768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 CAMINO DEL CORONADO",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925573549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E ALESSANDRO BLVD # 9A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085095",
            "telephone_number": "951-338-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC FAMILY MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-222-9775"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 2021; 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.