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RUBEN RAFAELOVICH AVAGIMOV MD NPI 1558376947


NPI Information

NPI: 1558376947
Provider Name: RUBEN RAFAELOVICH AVAGIMOV, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: COUNTY OF SAN BERNARDINO

PECOS Registration: Yes

Address:
400 N PEPPER AVE
ARROWHEAD REGIONAL MEDICAL CENTER
COLTON, CA
ZIP 92324
Phone: (909) 580-6240
Get Directions

Ruben Rafaelovich Avagimov, MD is a family medicine in Colton, CA with 39 years of experience. 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. Ruben Rafaelovich Avagimov, MD NPI is 1558376947. 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:

400 N PEPPER AVE
ARROWHEAD REGIONAL MEDICAL CENTER
COLTON, CA
ZIP 92324-819
Phone: (909) 580-6240
Fax: (909) 580-6308

The NPI 1558376947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.


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 MedicineA78851CALIFORNIAYes

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
100A788510MEDICAIDCALIFORNIA
2H96786MEDICARE UPIN
300A788510MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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.