Organization Active NPI

Health Educators Medical Group

  • Endocrinology, Diabetes & Metabolism Physician
  • San Bernardino, CA
National Provider Identifier
1093838765
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G40250 Issued in CA
Legal business name
HEALTH EDUCATORS MEDICAL GROUP
Practice address
399 E Highland Ave Ste 110
San Bernardino, CA 92404-3842
Phone
(909) 881-7623
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Irving L Spratt, MD
Title
Owner
Phone
(909) 881-7623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X G40250 CA Primary

Addresses

Primary practice location

399 E Highland Ave Ste 110
San Bernardino, CA 92404-3842

Mailing address

399 E Highland Ave Ste 110
San Bernardino, CA 92404-3842
Phone (909) 881-7623

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ82158ZMedicaidCA

Other names 1

  • Diabetes Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1093838765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043842",
            "telephone_number": "909-881-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E HIGHLAND AVE STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043842",
            "telephone_number": "909-881-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDUCATORS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SPRATT",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-881-7623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G40250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82158Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.