NPIMap

Organization Active NPI

Consumer Medical Enterprise

  • Urgent Care Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1033139936
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
FNP14159 Issued in CA
Legal business name
CONSUMER MEDICAL ENTERPRISE
Doing business as
ALTA LOMA MEDICAL GROUP
Practice address
9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314
Phone
(909) 980-2273
Fax
(909) 980-1387
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Donald J Kurth, M.D.
Title
Ceo
Phone
(909) 980-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FNP14159 CA Primary

Addresses

Primary practice location

9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314

Mailing address

9695 Baseline Rd
Rancho Cucamonga, CA 91730-1314
Phone (909) 980-2273

Other identifiers 1

IdentifierTypeStateIssuer
GR0015501MedicaidCA

Other names 1

  • ALTA LOMA MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alta Loma Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1033139936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9695 BASELINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301314",
            "telephone_number": "909-980-2273",
            "fax_number": "909-980-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9695 BASELINE RD",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301314",
            "telephone_number": "909-980-2273",
            "fax_number": "909-980-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSUMER MEDICAL ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-980-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": "FNP14159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0015501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTA LOMA MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.