Active NPI
Socal Arthritis Inc
- Rheumatology Physician
- Chino, CA
National Provider Identifier
1073284410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- SOCAL ARTHRITIS INC
- Practice address
- 13768 Roswell Ave Ste 100
Chino, CA 91710-1401 - Phone
- (909) 342-7892
- Fax
- (909) 342-7891
- NPI assigned
- Sep 24, 2021
- Last updated
- Sep 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlise Negrette
- Title
- Account Manager
- Phone
- (909) 793-5511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
13768 Roswell Ave Ste 100
Chino, CA 91710-1401
Mailing address
13768 Roswell Ave Ste 100
Chino, CA 91710-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
31493 Rancho Pueblo Rd
Ste 204
Temecula, CA 92592
Phone (951) 303-6115
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.
-
- Rheumatology Physician
- Loma Linda, CA
- NPI 1962790618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632441600000",
"number": "1073284410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13768 ROSWELL AVE STE 100",
"city": "CHINO",
"state": "CA",
"postal_code": "917101401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13768 ROSWELL AVE STE 100",
"city": "CHINO",
"state": "CA",
"postal_code": "917101401",
"telephone_number": "909-342-7892",
"fax_number": "909-342-7891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCAL ARTHRITIS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A",
"authorized_official_last_name": "NEGRETTE",
"authorized_official_first_name": "MARLISE",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "909-793-5511"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.