Active NPI
Empire Medical Group, Inc
- Clinic/Center
- San Bernardino, CA
National Provider Identifier
1154550812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EMPIRE MEDICAL GROUP, INC
- Practice address
- 1906 Commercenter E
San Bernardino, CA 92408-3422 - Phone
- (626) 798-8600
- Fax
- (626) 798-8842
- NPI assigned
- Jul 2, 2009
- 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
- Dr. Walter Jayashinghe, M.D.
- Title
- Ceo
- Phone
- (951) 280-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1906 Commercenter E
San Bernardino, CA 92408-3422
Mailing address
2693 E Washington Blvd
Pasadena, CA 91107-1412
Phone (626) 798-8600
National Provider Directory
National Provider DirectoryLocations
1906 Commercenter E
San Bernardino, CA 92408
Phone (626) 798-8600
1906 Commercenter E
Ste 100
San Bernardino, CA 92408
Phone (626) 798-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353888000000",
"number": "1154550812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2693 E WASHINGTON BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071412",
"telephone_number": "626-798-8600",
"fax_number": "626-798-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 COMMERCENTER E",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083422",
"telephone_number": "626-798-8600",
"fax_number": "626-798-8842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-02",
"last_updated": "2012-11-26",
"status": "A",
"authorized_official_last_name": "JAYASHINGHE",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-280-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Ifeoma Cynthia Emenike
- Emergency Medicine Physician Partners of San Bernardino County, Inc
- Emergency Medicine Physicians of San Bernardino County, Inc.
- Emergency Physicians Medical Group, Inc
- Empire Access Management
- Employee Health Systems Medical Group Dba Inland Valleys Ipa
- Emq Children & Family Services
- Emq Children and Family Services
- Faith Enfield, O.D.
- Kari Enge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.