Active NPI
Jack H Akmakjian, MD
- Orthopaedic Surgery Physician
- Riverside, CA
National Provider Identifier
1811992183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G62470
- Practice address
- 7300 Magnolia Ave
Riverside, CA 92504-3810 - Phone
- (951) 710-1030
- Fax
- (951) 688-8068
- NPI assigned
- Jun 14, 2005
- Last updated
- Oct 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G62470 | CA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G62470 | CA |
Addresses
Primary practice location
7300 Magnolia Ave
Riverside, CA 92504-3810
Mailing address
7300 Magnolia Ave
Riverside, CA 92504-3810
Phone (951) 710-1030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200028158 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G62470 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Corwin Medical Group Inc Ipa | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Convalescent Center of San Bernardino
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1821018433
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1811992183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043810",
"telephone_number": "951-710-1030",
"fax_number": "951-710-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043810",
"telephone_number": "951-710-1030",
"fax_number": "951-688-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKMAKJIAN",
"first_name": "JACK",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G62470",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G62470",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200028158",
"state": "CA"
}
],
"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 Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.