| Parkview Medical Group, Inc. | |
|
9041 Magnolia Ave Suite 107 Riverside CA 92503-3900 | |
| (951) 353-1021 | |
| (951) 687-0692 |
| Full Name | Parkview Medical Group, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9041 Magnolia Ave, Riverside, California |
| Authorized Official Name and Position | Jennifer Chapman (ADMINISTRATOR) |
| Authorized Official Contact | 9513531021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Medical Group, Inc. 9041 Magnolia Ave Suite 107 Riverside CA 92503-3900 Ph: (951) 353-1021 | Parkview Medical Group, Inc. 9041 Magnolia Ave Suite 107 Riverside CA 92503-3900 Ph: (951) 353-1021 |
| NPI Number | 1114339207 |
|---|---|
| Provider Enumeration Date | 05/23/2014 |
| Last Update Date | 06/23/2020 |
| Medicare PECOS PAC ID | 0345565925 |
|---|---|
| Medicare Enrollment ID | O20150203001408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114339207 | NPI | - | NPPES |
| Provider Name | Larry H Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649295676 PECOS PAC ID: 9335106525 Enrollment ID: I20041220000646 |
| Provider Name | Carol Anne Barnes-blanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720009152 PECOS PAC ID: 2163420068 Enrollment ID: I20061130000331 |
| Provider Name | Shawn Couture |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548464175 PECOS PAC ID: 3072675602 Enrollment ID: I20081216000473 |
| Provider Name | Jesse L Guadiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558317933 PECOS PAC ID: 5991855306 Enrollment ID: I20090605000239 |
| Provider Name | Jason M Couture |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962609115 PECOS PAC ID: 8325214018 Enrollment ID: I20111230000149 |
| Provider Name | Jean Everly Lafontant |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1043501851 PECOS PAC ID: 7315262870 Enrollment ID: I20150205000003 |
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