H Street Medical Associates, Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2970942 Issued in CA

Legal business name

H STREET MEDICAL ASSOCIATES, INC

Practice address

1329 N H St
San Bernardino, CA 92405-5039

Phone

(909) 381-0803

Fax

(909) 381-0823

NPI assigned

Mar 23, 2007

Last updated

Mar 16, 2009By 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

Mrs. Annie Groff

Title

Clinic Manager

Phone

(909) 381-0803

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1053438408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 N H ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924055039",
            "telephone_number": "909-381-0803",
            "fax_number": "909-381-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 N H ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924055039",
            "telephone_number": "909-381-0803",
            "fax_number": "909-381-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H STREET MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "GROFF",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "909-381-0803",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "2970942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.