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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 codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineA100590CAYes

Practice location

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2857

Phone 951-682-9911 · Fax 909-825-1868

Mailing address

6848 Magnolia Ave
Suite 230
Riverside, CA 92506-2857

Phone 951-682-9911 · Fax 909-825-1868

Authorized official

Jason M. Couture
Owner/Ceo
9098513847

Is something wrong?

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