Active NPI
Colton Valley Medical Care Inc
- Family Medicine Physician
- Colton, CA
National Provider Identifier
1962688127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A23744
- Legal business name
- COLTON VALLEY MEDICAL CARE INC
- Practice address
- 502 W Valley Blvd
Colton, CA 92324-2249 - Phone
- (909) 825-3202
- Fax
- (909) 825-9375
- NPI assigned
- Jan 17, 2008
- Last updated
- Jan 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Raymond Webb Jr., MD
- Title
- MD/Owner
- Phone
- (909) 825-3202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A23744 | CA | Primary |
Addresses
Primary practice location
502 W Valley Blvd
Colton, CA 92324-2249
Mailing address
502 W Valley Blvd
Colton, CA 92324-2249
Phone (909) 825-3202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A237440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1075489 | Colton Valley Medical Care Inc | Certificate of waiver | Oct 21, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hemet, CA
- NPI 1295839504
-
- Adult Medicine Physician
- Colton, CA
- NPI 1760554893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1962688127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W VALLEY BLVD",
"city": "COLTON",
"state": "CA",
"postal_code": "923242249",
"telephone_number": "909-825-3202",
"fax_number": "909-825-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W VALLEY BLVD",
"city": "COLTON",
"state": "CA",
"postal_code": "923242249",
"telephone_number": "909-825-3202",
"fax_number": "909-825-9375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLTON VALLEY MEDICAL CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-17",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "HARRY",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "909-825-3202",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A23744",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A237440",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
- Elizabeth Colin
- Wyatt Ryan Colloty, PA-C
- Colton Clinica Medica Familiar a Medical Corporation (Colton Clinica Medica Familiar)
- Colton Dental & Orthodontics Dr Zaghi Dental Group PC
- Colton Dental Group
- Colton Valley Medical Group
- Compassion Care Home Health
- Compassion Hospice & Palliative Care
- Mark E Comunale, M.D.
- Steven Conley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.