James C. Pine MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C25244 Issued in CA

Legal business name

JAMES C. PINE MD A MEDICAL CORPORATION

Practice address

76624 Pansy Cir
Palm Desert, CA 92211-7454

Phone

(760) 360-4888

Fax

(760) 200-4321

NPI assigned

Mar 30, 2011

Organization subpart

Yes

Parent organization

JAMES C. PINE MD, A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. James Charles Pine, MD

Title

Owner

Phone

(760) 360-4888

Specialties & licenses 2

Addresses

Part of

James C Pine MD a Medical Corporation

Locations

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1992094924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76624 PANSY CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117454",
            "telephone_number": "760-360-4888",
            "fax_number": "760-200-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76624 PANSY CIR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117454",
            "telephone_number": "760-360-4888",
            "fax_number": "760-200-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. PINE MD A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES C. PINE MD, A MEDICAL CORPORATION",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-360-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C25244",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "C25244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavelle Dawn Jacobson, LMFT
• Steven Eugene Jacobson, D.D.S.
• Kamar Jaghamah
• Mohannad Jaghamah
• Sanjana Jain
• James Young Kim Dental Corp
• Patricia James, M.D.
• Jan Hardinger Nursing Anesthesia
• Jang Dental Corporation
• Jae Won Jang

• Internal Medicine Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.