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JACK B KISTLER MD INC
NPI 1457676249
Clinic/Center - Primary Care in Riverside, CA

Active since April 05, 2010
6900 BROCKTON AVE STE 11, RIVERSIDE, CA 92506(951) 682-6263(951) 682-0114 Get Directions Write a Review

NPPES record last updated: April 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack B Kistler Md Inc NPPES

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

JACK B KISTLER MD INC (NPI 1457676249) is a healthcare organization registered as a primary care in Riverside, California and active in the NPI registry since April 2010. The organization lists Jack Bartlett Kistler, President, as its authorized official.

NPPES Registry Identity

NPI1457676249
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACK B KISTLER MD INC
Location Address6900 BROCKTON AVE STE 11Riverside, CA 92506-3801
Mailing Address6900 Brockton Ave Ste 11Riverside, CA 92506-3801 · (951) 682-6263 · Fax (951) 682-0114
Phone(951) 682-6263
Fax(951) 682-0114
Organization SubpartNo
Authorized OfficialJack Bartlett KistlerPresident · (951) 682-6263
Enumeration DateApril 5, 2010
✔ NPI 1457676249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · C26186
6900 BROCKTON AVE STE 11, Riverside, CA 92506
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Other Identifiers 2

Medicare PIN00C261860CA
Medicare UPINA33065CA

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 B Kistler MD Inc's NPI number?

The NPI number for Jack B Kistler MD Inc is 1457676249. It was assigned to this organization in the NPPES registry on April 5, 2010.

Where is Jack B Kistler MD Inc located?

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

What is Jack B Kistler MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jack B Kistler MD Inc was last updated on April 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.