EDGAR ARDILA MD – NPI #1295729648
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

EDGAR ARDILA is a physician located in RIVERSIDE, CA. NPPES has assigned the NPI number 1295729648 to EDGAR ARDILA on August 31, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 14 years ago on Dec 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGAR ARDILA below.

NPI Profile for
EDGAR ARDILA

NPI Number
1295729648
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDGAR ARDILA
Credentials
MD
Primary location
11705 SLATE AVE
SUITE 200
RIVERSIDE, CA 92505-5196
Phone: (951) 351-1346 Fax: (951) 359-3748
Mailing address
28030 BLACKBERRY WAY
YORBA LINDA, CA 92887-5803
Phone: (714) 692-5180 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for EDGAR ARDILA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A545391
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)
CA A54539
207RP1001X
- Internal Medicine / Pulmonary Disease
CA A54539
207R00000X
- Internal Medicine
CA A54539

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.