Organization Active NPI

Universal Point Clinics Corporation

  • Occupational Medicine Physician
  • Ontario, CA
National Provider Identifier
1023616240
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
UNIVERSAL POINT CLINICS CORPORATION
Practice address
1236 Brooks St
Ontario, CA 91762-3608
Phone
(909) 354-8881
Fax
(909) 354-8871
NPI assigned
Oct 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Alireza Eshafane, MD
Title
MD and Owner
Phone
(909) 354-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

1236 Brooks St
Ontario, CA 91762-3608

Mailing address

1236 Brooks St
Ontario, CA 91762-3608
Phone (909) 354-8881

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210324001674 CA Part B Supplier - Clinic/Group Practice 9638586399 Receives reassigned benefits from 1 practitioner
Practice locations: Ontario, CA

National Provider Directory

National Provider Directory

Locations

1236 Brooks St
Ontario, CA 91762
Phone (909) 354-8881

1845 E Holt Blvd
Ontario, CA 91761

Practitioners & affiliated clinicians

Practitioners 3

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": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1023616240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BROOKS ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623608",
            "telephone_number": "909-354-8881",
            "fax_number": "909-354-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 BROOKS ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623608",
            "telephone_number": "909-354-8881",
            "fax_number": "909-354-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL POINT CLINICS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "ESHAFANE",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "MD AND OWNER",
        "authorized_official_telephone_number": "909-354-8881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 9, 2020; 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.