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DR. JACK BARTLETT KISTLER MD
NPI 1356444996
Family Medicine in Riverside, CA

Active since September 07, 2006
6900 BROCKTON AVE, STE 11, RIVERSIDE, CA 92506(951) 682-6263(951) 682-0114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Bartlett Kistler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK BARTLETT KISTLER MD (NPI 1356444996) is an individual family medicine provider in Riverside, California, licensed in California (C26186) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1356444996
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK BARTLETT KISTLERCredential: MD
Location Address6900 BROCKTON AVE, STE 11Riverside, CA 92506
Mailing Address6900 Brockton Ave, Ste 11Riverside, CA 92506 · (951) 682-6263 · Fax (951) 682-0114
Phone(951) 682-6263
Fax(951) 682-0114
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356444996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C26186
Definition
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.
6900 BROCKTON AVE, Riverside, CA 92506
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Other Identifiers 2

Medicare UPINA33065
Medicare ID-Type Unspecified00C261860CA

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

3ACE MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies
6900 BROCKTON AVE, STE 10
RIVERSIDE, CA 92506
Riverside County (951) 327-0940
GARY K. T. PANG, A PROFESSIONAL CORPORATION
Anesthesiology (Pain Medicine)
6900 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (951) 784-7111
UNIVERSITY PAIN CONSULTANTS, INC.
Anesthesiology (Pain Medicine)
6900 BROCKTON AVE, SUITE #103
RIVERSIDE, CA 92506
Riverside County (951) 784-7111
PARISSA DJAFARI DDS
Dentist
6900 BROCKTON AVE, SUITE #2
RIVERSIDE, CA 92506
Riverside County (951) 682-2245
RAINIER E. GUIANG, M.D., A MEDICAL CORPORATION
Anesthesiology (Pain Medicine)
6900 BROCKTON AVE, SUITE #1
RIVERSIDE, CA 92506
Riverside County (951) 202-3687
RAINIER MARK ENRIQUE GUIANG M.D.
Anesthesiology (Pain Medicine)
6900 BROCKTON AVE, SUITE 103
RIVERSIDE, CA 92506
Riverside County (951) 784-7111
MR. STEVEN MIRANDA DC
Chiropractor
6900 BROCKTON AVE, SUITE 1
RIVERSIDE, CA 92506
Riverside County (951) 788-9635
FRANCISCO J PABALAN M D INC
Ophthalmology
6900 BROCKTON AVE, 203
RIVERSIDE, CA 92506
Riverside County (951) 682-4353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Kistler's NPI number?

The NPI number for Jack Kistler is 1356444996. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Jack Kistler located?

Jack Kistler practices at 6900 Brockton Ave Ste 11, Riverside, CA 92506. The listed phone number is (951) 682-6263.

What is Jack Kistler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Kistler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.