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EDGAR ARDILA MD NPI 1295729648


NPI Information

NPI: 1295729648
Provider Name: EDGAR ARDILA, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
11705 SLATE AVE
SUITE 200
RIVERSIDE, CA
ZIP 92505
Phone: (951) 351-1346
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Edgar Ardila, MD is a critical care medicine internal medicine in Riverside, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Edgar Ardila, MD NPI is 1295729648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11705 SLATE AVE
SUITE 200
RIVERSIDE, CA
ZIP 92505-196
Phone: (951) 351-1346
Fax: (951) 359-3748

The enumeration date for this NPI number is 8/31/2005 and was last updated on 12/15/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseA54539CALIFORNIANo
2207R00000XInternal MedicineA54539CALIFORNIANo
3207RC0200XInternal MedicineCritical Care MedicineA54539CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A545391MEDICAIDCALIFORNIA
2F19330MEDICARE UPIN
300A545391MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.