California Medical Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CALIFORNIA MEDICAL CLINIC INC.

Practice address

402 E Holt Blvd
Ontario, CA 91761-1618

Phone

(909) 467-1605

Fax

(909) 467-1608

NPI assigned

Jul 7, 2006

Last updated

Sep 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leland Mathew Luna, D.O.

Title

President

Phone

(909) 467-1605

Specialties & licenses 1

Addresses

Other names 1

• Clinica Medica California Former legal business name

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adelaida E Bustos, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1467510040
  NPD (past)
• Sharon Haiem Foulad, PA-C

  • Physician Assistant
  • Moreno Valley, CA
  • NPI 1356002745
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1043242142",
    "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 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "MATHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-467-1605",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica California",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicolette Calderon
• Sandy Calero
• Calibrated Healthcare, LLC (Calibrated Healthcare)
• California Clinical Nutrition Services LLC
• California Health and Rehab Center Corp.
• California Medical Clinic of Inland Empire Inc.
• California Vein Vascular and Diagnostics, Inc.
• Naomi Call
• Lance Callaghan
• Megan Carroll Callen

• Family Medicine Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.