Organization Active NPI

Roswitha Breuer MD

  • Family Medicine Physician
  • Perris, CA
National Provider Identifier
1801934591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A36236 Issued in CA
Legal business name
ROSWITHA BREUER MD
Practice address
146 E 4TH St
Perris, CA 92570-2125
Phone
(951) 956-2152
Fax
(951) 956-2154
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roswitha Elisabeth Breuer, MDNPI 1316016389
Title
Owner
Phone
(951) 956-2152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A36236 CA Primary

Addresses

Primary practice location

146 E 4TH St
Perris, CA 92570-2125

Mailing address

146 E 4TH St
Perris, CA 92570-2125
Phone (951) 956-2152

Other identifiers 1

IdentifierTypeStateIssuer
00A362360MedicaidCA

Other names 1

  • LA PAZ FAMILY MEDICAL CLINIC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1062994La Paz Family Medical Clinic146 E 4TH St, Perris, CA 92570Certificate of waiverJan 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801934591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702125",
            "telephone_number": "951-956-2152",
            "fax_number": "951-956-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E 4TH ST",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702125",
            "telephone_number": "951-956-2152",
            "fax_number": "951-956-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWITHA BREUER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "ROSWITHA",
        "authorized_official_middle_name": "ELISABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-956-2152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A362360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA PAZ FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.