Organization Active NPI

Hizon Medical Corporation

  • Primary Care Clinic/Center
  • Temecula, CA
National Provider Identifier
1992120794
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G55359 Issued in CA
Legal business name
HIZON MEDICAL CORPORATION
Practice address
27699 Jefferson Ave
Suite 101
Temecula, CA 92590-2661
Phone
(951) 790-0107
Fax
(951) 667-1933
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Authorized official

Name
Gerardo William Hizon, M.D.
Title
President / Physician
Phone
(951) 790-0107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G55359 CA
Primary Care Clinic/Center 261QP2300X G55359 CA Primary

Addresses

Primary practice location

27699 Jefferson Ave
Suite 101
Temecula, CA 92590-2661

Mailing address

25495 Medical Center Dr
Suite 305
Murrieta, CA 92562-4902
Phone (951) 790-0107

Other names 1

  • Motion Sports MD Doing business as

National Provider Directory

National Provider Directory

Locations

27699 Jefferson Ave
Ste 101
Temecula, CA 92590
Phone (951) 740-8858

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467590400000",
    "number": "1992120794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25495 MEDICAL CENTER DR",
            "address_2": "SUITE 305",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624902",
            "telephone_number": "951-790-0107",
            "fax_number": "951-667-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "SUITE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902661",
            "telephone_number": "951-790-0107",
            "fax_number": "951-667-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIZON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2016-07-04",
        "status": "A",
        "authorized_official_last_name": "HIZON",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "951-790-0107",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55359",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G55359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motion Sports MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; 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.