Jeffrey D Ries D O a Professional Corporation

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JEFFREY D RIES D O A PROFESSIONAL CORPORATION

Practice address

1310 San Bernardino Rd
Ste 101
Upland, CA 91786-4985

Phone

(909) 579-0779

Fax

(909) 579-0789

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Dean Ries, D O

Title

President

Phone

(909) 579-0779

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1992917108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-579-0779",
            "fax_number": "909-579-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-579-0779",
            "fax_number": "909-579-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY D RIES D O A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "RIES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-579-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D O"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX51380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Upland, CA
• Providers in Upland, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.