Organization Active NPI

Rancho Cucamonga Medical Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1043575459
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
RANCHO CUCAMONGA MEDICAL CENTER
Practice address
7388 Carnelian St
Ste D
Rancho Cucamonga, CA 91730-1160
Phone
(909) 945-9982
NPI assigned
Jul 11, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Sariah Veirs
Title
Office Manager
Phone
(909) 945-9982

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X CA Primary
Pain Medicine Physician 208VP0000X NU
Physician Assistant 363A00000X CA

Addresses

Primary practice location

7388 Carnelian St
Ste D
Rancho Cucamonga, CA 91730-1160

Mailing address

7388 Carnelian St
Ste D
Rancho Cucamonga, CA 91730-1160

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1043575459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7388 CARNELIAN ST",
            "address_2": "STE D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7388 CARNELIAN ST",
            "address_2": "STE D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301160",
            "telephone_number": "909-945-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO CUCAMONGA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "VEIRS",
        "authorized_official_first_name": "SARIAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-945-9982"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2012; 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.