NPIMap

Organization Active NPI

Physicians Aalliance Network

  • Exclusive Provider Organization
  • Ontario, CA
National Provider Identifier
1073789871
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PHYSICIANS AALLIANCE NETWORK
Practice address
4150 E. Concours St.
Suite #100
Ontario, CA 91764-4989
Phone
(909) 932-1045
Fax
(909) 932-1065
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Cadrin E. Gill, M.D.
Title
President/Ceo
Phone
(909) 932-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

4150 E. Concours St.
Suite #100
Ontario, CA 91764-4989

Mailing address

P.O. Box 2429
Rancho Cucamonga, CA 91729
Phone (909) 932-1045

National Provider Directory

National Provider Directory

Locations

4150 Concours
Ste 100
Ontario, CA 91764
Phone (909) 932-1045

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1073789871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2429",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91729",
            "telephone_number": "909-932-1045",
            "fax_number": "909-932-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E. CONCOURS ST.",
            "address_2": "SUITE #100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644989",
            "telephone_number": "909-932-1045",
            "fax_number": "909-932-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AALLIANCE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CADRIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-932-1045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.