Organization Active NPI

James a Desilva

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
National Provider Identifier
1922098037
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
24000527 Issued in CA
Legal business name
JAMES A DESILVA
Practice address
7310 Magnolia Ave
Riverside, CA 92504-3849
Phone
(951) 354-8787
Fax
(951) 354-0350
NPI assigned
Oct 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
James A Desilva, DPM
Title
Owner
Phone
(951) 354-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 24000527 CA Primary

Addresses

Primary practice location

7310 Magnolia Ave
Riverside, CA 92504-3849

Mailing address

7310 Magnolia Ave
Riverside, CA 92504-3849
Phone (951) 354-8787

Other identifiers 1

IdentifierTypeStateIssuer
SUR51066FMedicaidCA

Other names 1

  • Arlington Podiatry Surgery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1922098037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-354-8787",
            "fax_number": "951-354-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-354-8787",
            "fax_number": "951-354-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A DESILVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-354-8787",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "24000527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR51066F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arlington Podiatry Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 1, 2009; 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.