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

Jack B Kistler MD Inc

Organization Primary Care Clinic/Center · NPI 1457676249

Jack B Kistler MD Inc is a Primary Care Clinic/Center in Riverside, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
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

6900 Brockton Ave Ste 11
Riverside, CA 92506-3801
Phone: (951) 682-6263
Fax: (951) 682-0114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence C26186 (CA)

Record details

NPI number1457676249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Kistler — President · (951) 682-6263
NPI enumeratedApril 5, 2010
Last updated in NPPESApril 5, 2010
Mailing address6900 Brockton Ave Ste 11, Riverside, CA 92506-3801

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