Pinnacle Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINNACLE MEDICAL GROUP, INC.

Practice address

34845 Yucaipa Blvd.
Yucaipa, CA 92399-4237

Phone

(909) 500-7971

Fax

(909) 500-7977

NPI assigned

Nov 28, 2012

Organization subpart

Yes

Parent organization

PINNACLE MEDICAL GROUP, INC.As reported in NPPES

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

Authorized official

Name

Dr. Charles Sabbah, M.D.

Title

Medical Director

Phone

(909) 881-4115

Specialties & licenses 2

Addresses

Part of

Pinnacle Medical Group Inc

Locations

Practitioners 2

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

• Khwaja Ali Siddiqui, MD

  • Family Medicine Physician
  • Yucaipa, CA
  • NPI 1245344126
  NPD (past)
• Jessica Lynn Willemse, NP-C

  • Family Nurse Practitioner
  • Yucaipa, CA
  • NPI 1831594670
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1760727994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12209",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924232209",
            "telephone_number": "909-335-4118",
            "fax_number": "909-793-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34845 YUCAIPA BLVD.",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994237",
            "telephone_number": "909-500-7971",
            "fax_number": "909-500-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE MEDICAL GROUP, INC.",
        "enumeration_date": "2012-11-28",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SABBAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-881-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zulma Patricia Pineda
• Lydia Plata
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• Cynthia Pledger, RDHAP
• Katherine Poole

• Family Medicine Physician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.