Organization Active NPI

Elite Family Medicine

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1053003087
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE FAMILY MEDICINE
Practice address
345 N Riverside Ave
Rialto, CA 92376-5925
Phone
(909) 707-5920
Fax
(909) 707-5983
NPI assigned
May 26, 2023
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Daniel Aminpour, MDNPI 1255960050
Title
Owner
Phone
(909) 707-5920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

345 N Riverside Ave
Rialto, CA 92376-5925

Mailing address

345 N Riverside Ave
Rialto, CA 92376-5925
Phone (909) 707-5920

Other practice location 1

1911 W Glenoaks Blvd
Glendale, CA 91201-4744
Phone (818) 843-6640

Other practice location 2

2140 W Chapman Ave Ste 109
Orange, CA 92868-2331
Phone (714) 881-7350

Other practice location 3

1901 W Badillo St
West Covina, CA 91790-1133
Phone (626) 962-5625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230817001830 CA Part B Supplier - Clinic/Group Practice 7911369236 Receives reassigned benefits from 6 practitioners
Practice locations: Glendale, CA; Lomita, CA; Orange, CA; Rialto, CA; West Covina, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2289438Elite Family Medicine2140 W Chapman Ave Ste 109, Orange, CA 92868Certificate of waiverSep 10, 2027
05D2293492Elite Family Medicine345 N Riverside Avenue, Rialto, CA 92376Certificate of waiverNov 8, 2027
05D2306957Elite Family Medicine1901 W Badillo St, West Covina, CA 91790Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Locations

1911 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 843-6640

911 W Glenoaks Blvd Ste B
Glendale, CA 91202

1816 Pacific Coast Hwy
Lomita, CA 90717
Phone (909) 707-5920

2140 W Chapman Ave
Ste 109
Orange, CA 92868
Phone (714) 881-7350

345 N Riverside Ave
Rialto, CA 92376
Phone (909) 707-5920

1901 W Badillo St
West Covina, CA 91790
Phone (626) 962-5625

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCBCBD

Practitioners & affiliated clinicians

Practitioners 8

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": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1053003087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765925",
            "telephone_number": "909-707-5920",
            "fax_number": "909-707-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765925",
            "telephone_number": "909-707-5920",
            "fax_number": "909-707-5983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 W Glenoaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912014744",
            "country_code": "US",
            "telephone_number": "818-843-6640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 W Chapman Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682331",
            "country_code": "US",
            "telephone_number": "714-881-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 W Badillo St",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917901133",
            "country_code": "US",
            "telephone_number": "626-962-5625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "AMINPOUR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-707-5920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.