Roger G Annabel, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A53036 Issued in CA

Practice address

11705 Slate Ave
#200
Riverside, CA 92505

Phone

(951) 351-1364

Fax

(951) 359-3748

NPI assigned

Feb 1, 2007

Last updated

Mar 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Inland Hospitalists Med GP

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1548254980
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301011200000",
    "number": "1760529176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4653 TORREY PINES DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093388",
            "telephone_number": "909-994-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 SLATE AVE",
            "address_2": "#200",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-351-1364",
            "fax_number": "951-359-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNABEL",
        "first_name": "ROGER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53036",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53036",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A53036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonious Anis
• Anita M. Pai, M.D. Inc
• Anjelic Touch
• Anka Behavioral Health, Inc. (Rancho West)
• Ann Ewalt Hamilton MD Medical Corp
• Annjudel C Enriquez
• Another Way 1, LLC
• Another Way 2 LLC
• Mitra Ansari, PA-C
• Salman H. Ansari, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.