Health to Home Central Inc

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

G74798 Issued in CA

Legal business name

HEALTH TO HOME CENTRAL INC

Practice address

5750 Division St
Suite 208
Riverside, CA 92506-3269

Phone

(951) 368-0428

Fax

(951) 368-0429

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Steve Wildish

Title

Secretary

Phone

(951) 368-0428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1972973204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925162069",
            "telephone_number": "951-368-0428",
            "fax_number": "951-368-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DIVISION ST",
            "address_2": "SUITE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063269",
            "telephone_number": "951-368-0428",
            "fax_number": "951-368-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TO HOME CENTRAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "WILDISH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-368-0428"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G74798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.