Active NPI
Pinnacle Medical Group, Inc.
- Family Medicine Physician
- Banning, CA
National Provider Identifier
1790029205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PINNACLE MEDICAL GROUP, INC.
- Practice address
- 300 S Highland Springs Ave
Suite 2D
Banning, CA 92220-6504 - Phone
- (951) 769-5378
- Fax
- (951) 769-5645
- NPI assigned
- Nov 21, 2012
- Organization subpart
- Yes
- Parent organization
- PINNACLE MEDICAL GROUP, INC.
NPPES NPI Registry
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | CA |
Addresses
Primary practice location
300 S Highland Springs Ave
Suite 2D
Banning, CA 92220-6504
Mailing address
P.O. Box 12209
San Bernardino, CA 92423-2209
Phone (909) 335-4118
National Provider Directory
National Provider Directory- Part of
- Pinnacle Medical Group Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358812800000",
"number": "1790029205",
"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": "300 S HIGHLAND SPRINGS AVE",
"address_2": "SUITE 2D",
"city": "BANNING",
"state": "CA",
"postal_code": "922206504",
"telephone_number": "951-769-5378",
"fax_number": "951-769-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINNACLE MEDICAL GROUP, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PINNACLE MEDICAL GROUP, INC.",
"enumeration_date": "2012-11-21",
"last_updated": "2013-01-22",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.