Individual provider Active NPI

Albert B Briccetti, M.D.

  • Rheumatology Physician
  • San Bernardino, CA
National Provider Identifier
1821018029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G23105 Issued in CA
Practice address
732 Carnegie Dr
Regal Medical Group - Suite 125
San Bernardino, CA 92408-3500
Phone
(951) 314-7304
Fax
(818) 933-0555
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G23105 CA Primary

Addresses

Primary practice location

732 Carnegie Dr
Regal Medical Group - Suite 125
San Bernardino, CA 92408-3500

Mailing address

4170 South Club Dr
Colorado Springs, CO 80906
Phone (719) 302-5129

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G23105CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Colorado Physician Associates, P.C. Rheumatology PastSince May 24, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821018029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 SOUTH CLUB DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80906",
            "telephone_number": "719-302-5129",
            "fax_number": "818-933-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 CARNEGIE DR",
            "address_2": "REGAL MEDICAL GROUP - SUITE 125",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083500",
            "telephone_number": "951-314-7304",
            "fax_number": "818-933-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICCETTI",
        "first_name": "ALBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G23105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.