Organization Active NPI

California Medical Clinic of Inland Empire Inc.

  • General Practice Physician
  • Ontario, CA
National Provider Identifier
1003774209
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.
Practice address
402 E Holt Blvd
Ontario, CA 91761-1618
Phone
(909) 467-1605
Fax
(909) 467-1608
NPI assigned
Jan 14, 2026
Organization subpart
Yes
Parent organization
CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. David Lozano, MDNPI 1104041995
Title
Medical Director
Phone
(909) 467-1605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

402 E Holt Blvd
Ontario, CA 91761-1618

Mailing address

402 E Holt Blvd
Ontario, CA 91761-1618
Phone (909) 467-1605

Other names 1

  • California Medical Clinic of Inland Empire Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415000964 CA Part B Supplier - Clinic/Group Practice 9133695430 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Fontana, CA; Moreno Valley, CA; Ontario, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
California Medical Clinic of Inland Empire Inc3 organizations share this tax ID, including this one
Part of
California Medical Clinic of Inland Empire Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1003774209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611618",
            "telephone_number": "909-467-1605",
            "fax_number": "909-467-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E HOLT BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611618",
            "telephone_number": "909-467-1605",
            "fax_number": "909-467-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA MEDICAL CLINIC OF INLAND EMPIRE INC.",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-467-1605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Medical Clinic of Inland Empire",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.