Individual provider Active NPI

Jason M. Couture, M.D.

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1962609115
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100590 Issued in CA
Practice address
6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858
Phone
(951) 682-9911
Fax
(951) 682-9912
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100590 CA Primary

Addresses

Primary practice location

6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858

Mailing address

6848 Magnolia Ave Ste 230
Riverside, CA 92506-2858
Phone (951) 682-9911

Other identifiers 1

IdentifierTypeStateIssuer
A100590OtherCASTATE MEDICAL LICENSE #

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111230000149 CA Practitioner - Internal Medicine 8325214018 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loma Linda University School of Dentistry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2858
Phone (951) 682-9911

9041 Magnolia Ave
Suite 107
Riverside, CA 92503-3942
Phone 9513531021203

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100590CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Medical Group, Inc. CurrentSince May 17, 2019 Accepting new patients
Couture Medical Group Inc CurrentSince Jun 23, 2010 Accepting new patients
Jason Michael Bradley Couture, MD Inc. Internal Medicine CurrentSince Aug 28, 2011 Accepting new patients
Parkview Outpatient Medical Group, Inc. Past Accepting new patients

Locations

6848 Magnolia Ave
Ste 230
Riverside, CA 92506
Phone (951) 384-7377

9041 Magnolia Ave
Ste 107B
Riverside, CA 92503
Phone (909) 354-8020

9041 Magnolia Ave
Ste 107
Riverside, CA 92503
Phone (951) 353-1021

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jason.couture@coumg.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1962609115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-682-9911",
            "fax_number": "951-682-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 MAGNOLIA AVE STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062858",
            "telephone_number": "951-682-9911",
            "fax_number": "951-682-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "JASON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE #",
            "identifier": "A100590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.