Organization Active NPI

San Bernardino Senior Care

  • Case Manager/Care Coordinator
  • Fontana, CA
National Provider Identifier
1124998026
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SAN BERNARDINO SENIOR CARE
Practice address
17057 Foothill Blvd Ste 101
Fontana, CA 92335-3523
Phone
(626) 888-9580
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Yanan Liang
Title
Owner
Phone
(626) 888-9580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

17057 Foothill Blvd Ste 101
Fontana, CA 92335-3523

Mailing address

713 W Duarte Rd # G810
Arcadia, CA 91007-7564
Phone (626) 888-9580

National Provider Directory

National Provider Directory

Locations

713 W Duarte Rd
#G810
Arcadia, CA 91007

17057 Foothill Blvd
Ste 101
Fontana, CA 92335
Phone (626) 888-9580

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1124998026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W DUARTE RD # G810",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077564",
            "telephone_number": "626-888-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17057 FOOTHILL BLVD STE 101",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353523",
            "telephone_number": "626-888-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "YANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-888-9580"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 6, 2025; 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.