Organization Active NPI

Physician Partners Medical Group Inc

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1891067344
Registry record updated Apr 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PHYSICIAN PARTNERS MEDICAL GROUP INC
Practice address
3719 Arlington Ave
Suite 1
Riverside, CA 92506-2652
Phone
(951) 781-3800
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2012

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

Authorized official

Name
Mr. Earl Bernard
Title
Associate Vice President
Phone
(951) 781-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3719 Arlington Ave
Suite 1
Riverside, CA 92506-2652

Mailing address

3719 Arlington Ave
Suite 1
Riverside, CA 92506-2652
Phone (951) 781-3800

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1891067344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062652",
            "telephone_number": "951-781-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 ARLINGTON AVE",
            "address_2": "SUITE 1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062652",
            "telephone_number": "951-781-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PARTNERS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT",
        "authorized_official_telephone_number": "951-781-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 16, 2012; 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.