Organization Active NPI

Strategic Medical Partners a Professional Corp

  • Prevention Professional
  • Riverside, CA
National Provider Identifier
1760919492
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
STRATEGIC MEDICAL PARTNERS A PROFESSIONAL CORP
Practice address
10683 Magnolia Ave
Suite B
Riverside, CA 92505-1800
Phone
(951) 785-0381
Fax
(951) 639-6024
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Michele Martinez, MD
Title
Clinical Director
Phone
(951) 785-0381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

10683 Magnolia Ave
Suite B
Riverside, CA 92505-1800

Mailing address

10683 Magnolia Ave
Suite B
Riverside, CA 92505-1800
Phone (951) 785-0381

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1760919492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051800",
            "telephone_number": "951-785-0381",
            "fax_number": "951-639-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10683 MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051800",
            "telephone_number": "951-785-0381",
            "fax_number": "951-639-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATEGIC MEDICAL PARTNERS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "951-785-0381",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "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 May 12, 2017; 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.