Jason Michael Bradley Couture, MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A100590 Issued in CA

Legal business name

JASON MICHAEL BRADLEY COUTURE, MD INC.

Practice address

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2857

Phone

(951) 682-9911

Fax

(909) 825-1868

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jason M. Couture, M.D.NPI 1962609115

Title

Owner/Ceo

Phone

(909) 851-3847

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jason M. Couture, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1962609115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1760610315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062857",
            "telephone_number": "951-682-9911",
            "fax_number": "909-825-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE",
            "address_2": "SUITE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062857",
            "telephone_number": "951-682-9911",
            "fax_number": "909-825-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON MICHAEL BRADLEY COUTURE, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "COUTURE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-851-3847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE NUMBER",
            "identifier": "A100590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Jaramillo, ASW
• Isabelle Jaramillo
• Stephanie Jaramillo
• Aileen Jarquin
• Luis Octavio Jarquin Jr., MFT
• Norma Alicia Jasso
• Brian Jauregui
• Jacob Jauregui
• Katie Laverne Jauregui
• Tonette Marie Jauregui, LMFT

• 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 Jun 22, 2009; 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.