NPIMap

Organization Active NPI

County of San Bernardino

  • Public Health or Welfare Agency
  • Fontana, CA
National Provider Identifier
1114197373
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
17830 Arrow Boulevard
Fontana, CA 92335-4037
Phone
(909) 356-6733
NPI assigned
Mar 4, 2008
Organization subpart
Yes
Parent organization
COUNTY OF SAN BERNARDINOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. James L Lindley
Title
Interim Public Health Director
Phone
(909) 387-9146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

17830 Arrow Boulevard
Fontana, CA 92335-4037

Mailing address

351 North Mountain View Avenue
Room 303
San Bernardino, CA 92415-0010
Phone (909) 387-6219

Other identifiers 2

IdentifierTypeStateIssuer
LAB65059FOtherCALAB
ZZT11488FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one
Part of
San Bernardino County D

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1114197373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 NORTH MOUNTAIN VIEW AVENUE",
            "address_2": "ROOM 303",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150010",
            "telephone_number": "909-387-6219",
            "fax_number": "909-387-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17830 ARROW BOULEVARD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354037",
            "telephone_number": "909-356-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN BERNARDINO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "LINDLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INTERIM PUBLIC HEALTH DIRECTOR",
        "authorized_official_telephone_number": "909-387-9146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB",
            "identifier": "LAB65059F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT11488F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.