NPIMap

Organization Active NPI

Huntington Reproductive Center Medical Group, a Medical Corporation

Doing business as hrc fertility

  • Clinical Medical Laboratory
  • Rancho Cucamonga, CA
National Provider Identifier
1063837441
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF344628 Issued in CA
Legal business name
HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Doing business as
hrc fertility
Practice address
8112 Milliken Ave Ste 101-1
Rancho Cucamonga, CA 91730-7472
Phone
(909) 941-1120
Fax
(909) 941-1125
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Bradford A Kolb, M.D.
Title
President & Shareholder
Phone
(626) 440-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF344628 CA Primary

Addresses

Primary practice location

8112 Milliken Ave Ste 101-1
Rancho Cucamonga, CA 91730-7472

Mailing address

8112 Milliken Ave Ste 101-1
Rancho Cucamonga, CA 91730-7472
Phone (909) 941-1120

Other names 1

  • hrc fertility Doing business as

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
05D0977189Rancho Medical Group8112 Milliken Ave Suite 100, Rancho Cucamonga, CA 91730Certificate of waiverAug 21, 2026
05D2064026Huntington Reproductive Center Medical Group8112 Milliken Ave, Ste 101-1, Rancho Cucamonga, CA 91730ComplianceJul 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Huntington Reproductive Center Medical Group11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

8112 Milliken Ave
Ste 101-1
Rch Cucamonga, CA 91730
Phone (909) 481-0752

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1063837441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE STE 101-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307472",
            "telephone_number": "909-941-1120",
            "fax_number": "909-941-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE STE 101-1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307472",
            "telephone_number": "909-941-1120",
            "fax_number": "909-941-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & SHAREHOLDER",
        "authorized_official_telephone_number": "626-440-6191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF344628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hrc fertility",
            "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 Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.