Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emerald Isle Medical Group Inc

Organization Internal Medicine Physician · NPI 1063601946

Emerald Isle Medical Group Inc is an Internal Medicine Physician in Riverside, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4121 Brockton Ave Ste 104
Riverside, CA 92501-3442
Phone: (951) 778-0032
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0012X · Licence A46400 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A46400 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A46400 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence A46400 (CA)

Record details

NPI number1063601946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bertrand De Silva — Owner · (714) 444-0440
NPI enumeratedOctober 17, 2007
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020
Mailing address4121 Brockton Ave Ste 104, Riverside, CA 92501-3442

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