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TIBBETTS MEDICAL GROUP INC. NPI 1295125318


NPI Information

NPI: 1295125318
Provider Name: TIBBETTS MEDICAL GROUP, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2097566

Address:
3722 TIBBETTS ST
RIVERSIDE, CA
ZIP 92506
Phone: (951) 784-3770
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TIBBETTS 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. TIBBETTS MEDICAL GROUP, INC. NPI is 1295125318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3722 TIBBETTS ST
RIVERSIDE, CA
ZIP 92506-605
Phone: (951) 784-3770

The provider's authorized official is Jennifer J Chapman .
The authorized official title is Administrator and has the following contact phone number (951) 353-1021.

The CLIA number assigned to this NPI record is 05D2097566 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 1/27/2015.


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
1207Q00000XFamily MedicineYes

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

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