Inland Empire Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

INLAND EMPIRE MEDICAL GROUP INC.

Practice address

1550 E Washington St # 101
Colton, CA 92324-4624

Phone

(800) 418-0850

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Deron A Gilliard

Title

Managing Partner

Phone

(909) 581-5447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1164063897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON ST # 101",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "800-418-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON ST # 101",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "800-418-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "GILLIARD",
        "authorized_official_first_name": "DERON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "909-581-5447"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dannilo Iniguez, PHARMACY TECH
• Gwendeline Init
• Shannon Injety, MPT
• Inland Caregiver Resource Center
• Inland Empire Anesthesia Medical Group, Inc
• Inland Empire Nephrology, Inc.
• Inland Eye Institute Medical Group Inc
• Inland Physiatry Medical Group, Inc.
• Inland Rehabilitation Medical Group, Inc.
• Inland Valley Drug and Alcohol Recovery Services

• Family Medicine Physician in Colton, CA
• Providers in Colton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.