Organization Active NPI

Pineapple Pediatrics

  • Pediatrics Physician
  • Redlands, CA
National Provider Identifier
1780206003
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PINEAPPLE PEDIATRICS
Practice address
19 E Citrus Ave Ste 201
Redlands, CA 92373-4742
Phone
(909) 317-1309
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Diana Villarreal, M.D.
Title
Pediatrician
Phone
(909) 317-1309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

19 E Citrus Ave Ste 201
Redlands, CA 92373-4742

Mailing address

19 E Citrus Ave Ste 201
Redlands, CA 92373-4742
Phone (909) 317-1309

National Provider Directory

National Provider Directory

Locations

19 E Citrus Ave
Ste 201
Redlands, CA 92373
Phone (201) 293-7347

19 E Citrus Ave
Redlands, CA 92373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22267/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1780206003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E CITRUS AVE STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734742",
            "telephone_number": "909-317-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E CITRUS AVE STE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734742",
            "telephone_number": "909-317-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEAPPLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "909-317-1309",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.