PINNACLE MEDICAL GROUP INC NPI 1548535446

NPI Information

  • NPI: 1548535446
  • Provider Name: PINNACLE MEDICAL GROUP, INC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 05D0666931
  • Address: 1850 N RIVERSIDE AVE STE 240
    RIALTO, CA
    ZIP 92376
  • Phone: (909) 427-9960

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NPI Details

PINNACLE MEDICAL GROUP, INC is a family nurse practitioner in Rialto, CA. PINNACLE MEDICAL GROUP, INC NPI is 1548535446. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1850 N RIVERSIDE AVE STE 240
RIALTO, CA
ZIP 92376-082
Phone: (909) 427-9960

The provider's authorized official is Charles Sabbah .
The authorized official title is Medical Director and has the following contact phone number (909) 881-4115.

The CLIA number assigned to this NPI record is 05D0666931 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/12/2012 and was last updated on 2/26/2013.

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
1363LF0000XNurse PractitionerFamily20682CALIFORNIAYes

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
1ZZZ14739ZOTHERMEDICARE PTAN

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: 11/21/2025

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