NPIMap

Organization Active NPI

Premier Family Medicine Associates, Inc

Doing business as PVHC at Claremont

  • Health Service Clinic/Center
  • Claremont, CA
National Provider Identifier
1164668786
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
550000880 Issued in CA
Legal business name
PREMIER FAMILY MEDICINE ASSOCIATES, INC
Doing business as
PVHC at Claremont
Practice address
1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone
(909) 630-7938
Fax
(909) 469-2118
NPI assigned
Jan 2, 2009
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER FAMILY MEDICINE ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Tamara J Warner
Title
Admin Coordinator
Phone
(909) 865-9501

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 550000880 CA Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601

Mailing address

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone (909) 630-7938

Other practice location 1

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone (909) 865-9977

Other identifiers 5

IdentifierTypeStateIssuer
1164668786MedicaidCA
05D0881917OtherCLIA
GR0083730MedicaidCA
00320034OtherCASTATE OF CALIFORNIA CLP
550000880OtherCADHS LICENSE

Other names 1

  • PVHC at Claremont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031111000889 CA Part B Supplier - Clinic/Group Practice 4284547522 Receives reassigned benefits from 67 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chino Hills, CA; Claremont, CA; La Verne, CA; Pomona, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0881917Premier Family Medicine Associates, Inc1601 Monte Vista Ave, Claremont, CA 91711Provider-performed microscopyFeb 12, 2027

National Provider Directory

National Provider Directory
Part of
Premier Family Medicine

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1164668786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Monte Vista Ave Ste 190",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "CA",
            "postal_code": "917116600",
            "country_code": "US",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER FAMILY MEDICINE ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER FAMILY MEDICINE ASSOCIATES, INC",
        "enumeration_date": "2009-01-02",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN COORDINATOR",
        "authorized_official_telephone_number": "909-865-9501"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "550000880",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164668786",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0881917",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0083730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA CLP",
            "identifier": "00320034",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE",
            "identifier": "550000880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PVHC at Claremont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PVHC at Claremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.