NPIMap

Organization Active NPI

Professional Weight Loss Fitness Centers

  • Health Educator
  • Upland, CA
National Provider Identifier
1003203035
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
PROFESSIONAL WEIGHT LOSS FITNESS CENTERS
Practice address
2009 Porter Field Way Ste H
Upland, CA 91786-1106
Phone
(909) 981-3509
NPI assigned
Apr 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Adolfo Antonio Alire
Title
Weight Loss Fitness Management
Phone
(909) 437-0345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

2009 Porter Field Way Ste H
Upland, CA 91786-1106

Mailing address

2009 Porter Field Way Ste H
Upland, CA 91786-1106
Phone (909) 981-3509

National Provider Directory

National Provider Directory

Locations

2009 Porter Field Way
Ste H
Upland, CA 91786
Phone (909) 981-3509

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1003203035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 PORTER FIELD WAY STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917861106",
            "telephone_number": "909-981-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 PORTER FIELD WAY STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917861106",
            "telephone_number": "909-981-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL WEIGHT LOSS FITNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "ALIRE",
        "authorized_official_first_name": "ADOLFO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "WEIGHT LOSS FITNESS MANAGEMENT",
        "authorized_official_telephone_number": "909-437-0345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.