Active NPI
Inland Empire Outpatient Surgery Center
- Ambulatory Surgical Clinic/Center
- San Bernardino, CA
National Provider Identifier
1164640454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- INLAND EMPIRE OUTPATIENT SURGERY CENTER
- Practice address
- 2150 N Sierra Way
San Bernardino, CA 92405-4030 - Phone
- (909) 881-2538
- NPI assigned
- Apr 23, 2007
- 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
- Mr. Jesse Mitchell, M.D.
- Title
- Medical Director
- Phone
- (909) 881-2538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
2150 N Sierra Way
San Bernardino, CA 92405-4030
Mailing address
2150 N Sierra Way
San Bernardino, CA 92405-4030
Phone (909) 881-2538
National Provider Directory
National Provider DirectoryLocations
2150 N Sierra Way
Sn Bernrdno, CA 92405
Phone (909) 474-8580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Sun City, CA
- NPI 1790902708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164640454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 N SIERRA WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054030",
"telephone_number": "909-881-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 N SIERRA WAY",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924054030",
"telephone_number": "909-881-2538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND EMPIRE OUTPATIENT SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "909-881-2538",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Inland Empire Health Centers
- Inland Empire Health Centers
- Inland Empire Job Corps Center
- Inland Empire Medical Imaging LLC
- Inland Empire Medical Network
- Inland Empire Pain Management
- Inland Empire Pharmacy Services Inc
- Inland Empire Womans Center, Medical Associates
- Inland Healthcare Group, a Medical Corporation
- Inland Healthcare Group, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.