Concentra Primary Care of California, a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONCENTRA PRIMARY CARE OF CALIFORNIA, A MEDICAL CORPORATION

Practice address

15302 El Prado Rd
Chino, CA 91710-7659

Phone

(909) 393-7222

Fax

(909) 393-7312

NPI assigned

Oct 21, 2022

Last updated

Oct 21, 2022By 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

John Anderson

Title

VP

Phone

(972) 364-8000

Specialties & licenses 3

Addresses

Tax ID family

Concentra Primary Care of California3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Concentra Primary Care of California

  • Primary Care Clinic/Center
  • Camarillo, CA
  • NPI 1689140261
  NPD tax ID
• Concentra Primary Care of California

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1760958367
  NPD tax ID

Locations

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1073230900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15302 EL PRADO RD",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107659",
            "telephone_number": "909-393-7222",
            "fax_number": "909-393-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA PRIMARY CARE OF CALIFORNIA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "972-364-8000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Dental Services
• Complete Care California
• Complete Care California
• Robert Steven Conboy, PH.D.
• Concentra Primary Care of California
• William Kenneth Conde, PHARM.D.
• Constance C Corsino MD Inc (Childrens Medical Group of Chino)
• Consumerhealth, Inc.
• Consumerhealth, Inc. (Newport Dental - Chino)
• Continuous Care Inc

• Primary Care Clinic/Center in Chino, CA
• Providers in Chino, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.