Poway Hospitalist Medical Group, Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

POWAY HOSPITALIST MEDICAL GROUP, INC

Practice address

15615 Pomerado Rd
Poway, CA 92064-2405

Phone

(310) 698-5452

Fax

(310) 379-4856

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Mark R Bell, MD

Title

President

Phone

(310) 698-5452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1952970204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 N PACIFIC COAST HWY STE 600",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452747",
            "telephone_number": "310-698-5452",
            "fax_number": "310-379-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 POMERADO RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642405",
            "telephone_number": "310-698-5452",
            "fax_number": "310-379-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWAY HOSPITALIST MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-698-5452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Preber, D.M.D.

• Hospitalist Physician in Poway, CA
• Providers in Poway, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.