ORANGECREST MEDICAL GROUP INC. NPI 1033676317

NPI Information

NPI: 1033676317
Provider Name: ORANGECREST MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4646 BROCKTON AVE STE 203
RIVERSIDE, CA
ZIP 92506
Phone: (951) 774-2881
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ORANGECREST MEDICAL GROUP, INC. is a family medicine in Riverside, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ORANGECREST MEDICAL GROUP, INC. NPI is 1033676317. The provider is registered as an organization entity type.

The provider's business location address is:

4646 BROCKTON AVE STE 203
RIVERSIDE, CA
ZIP 92506-104
Phone: (951) 774-2881
Fax: (951) 774-2846

The provider's authorized official is Yolanda Sanchez .
The authorized official title is Operations Manager and has the following contact phone number (951) 682-1622.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 10/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			No
2	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4232015	OTHER	CALIFORNIA	ARTICLES OF INCORPORATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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