Healthcare Provider Details
I. General information
NPI: 1669557930
Provider Name (Legal Business Name): PINNACLE MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2006
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 ROSSI CIR
SALINAS CA
93907
US
IV. Provider business mailing address
947 BLANCO CIR STE A
SALINAS CA
93901-4461
US
V. Phone/Fax
- Phone: 831-770-0444
- Fax: 831-770-0445
- Phone: 831-757-4444
- Fax: 831-757-4419
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ERNESTO
M.
ALVERO
Title or Position: C.E.O.
Credential: P.A.
Phone: 831-757-4444