Organization Active NPI

Mission Medical Group of the Inland Empire

  • Health Maintenance Organization
  • San Diego, CA
National Provider Identifier
1023180189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MISSION MEDICAL GROUP OF THE INLAND EMPIRE
Practice address
9275 Sky Park CT Ste 400
San Diego, CA 92123-4386
Phone
(858) 467-7640
Fax
(858) 467-7649
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Hernandez
Title
Assoc Vice President of Operations
Phone
(858) 467-7640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

9275 Sky Park CT Ste 400
San Diego, CA 92123-4386

Mailing address

9275 Sky Park CT Ste 400
San Diego, CA 92123-4386
Phone (858) 467-7640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023180189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 SKY PARK CT STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234386",
            "telephone_number": "858-467-7640",
            "fax_number": "858-467-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 SKY PARK CT STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234386",
            "telephone_number": "858-467-7640",
            "fax_number": "858-467-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL GROUP OF THE INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ASSOC VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "858-467-7640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.