Jason Michael Bradley Couture, MD INC.
Internal Medicine in Riverside, CA. Organization (NPI-2).
NPI number1760610315
StatusActive
Last updated in NPPESJun 22, 2009
Details
- NPI
- 1760610315
- Entity type
- Organization (NPI-2)
- Legal business name
- Jason Michael Bradley Couture, MD INC.
- Organization subpart
- No
- Enumeration date
- Jun 22, 2009
- Last updated
- Jun 22, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A100590 | CA | Yes |
Practice location
6848 Magnolia AveSuite 230
Riverside, CA 92506-2857
Phone 951-682-9911 · Fax 909-825-1868
Mailing address
6848 Magnolia AveSuite 230
Riverside, CA 92506-2857
Phone 951-682-9911 · Fax 909-825-1868
Authorized official
Jason M. Couture
Owner/Ceo
9098513847
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