Active NPI
Harvey Dwayne Pfiefle, MD
- Family Medicine Physician
- Riverside, CA
National Provider Identifier
1942301445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34821
- Practice address
- 3975 Jackson St Ste 101
Riverside, CA 92503-3938 - Phone
- (951) 688-3432
- Fax
- (951) 688-3436
- NPI assigned
- Sep 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A34821 | CA | Primary |
Addresses
Primary practice location
3975 Jackson St Ste 101
Riverside, CA 92503-3938
Mailing address
3975 Jackson St Ste 101
Riverside, CA 92503-3938
Phone (951) 688-3432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101217000847 | CA | Practitioner - Family Practice | 5991993966 | Practice locations: Riverside, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34821 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1942301445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 JACKSON ST STE 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033938",
"telephone_number": "951-688-3432",
"fax_number": "951-688-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 JACKSON ST STE 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033938",
"telephone_number": "951-688-3432",
"fax_number": "951-688-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFIEFLE",
"first_name": "HARVEY",
"middle_name": "DWAYNE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A34821",
"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 Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.