Organization Active NPI

Lani City Primary Care

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1174309546
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LANI CITY PRIMARY CARE
Practice address
150 W Base Line Rd Ste B
Rialto, CA 92376-3358
Phone
(909) 727-3911
Fax
(909) 727-3925
NPI assigned
Sep 1, 2023
Organization subpart
Yes
Parent organization
LANI CITY MEDICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Suniel Khemlani, MDNPI 1053548644
Title
Ceo
Phone
(909) 727-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

150 W Base Line Rd Ste B
Rialto, CA 92376-3358

Mailing address

14071 Peyton Dr Unit 2456
Chino Hills, CA 91709-7209
Phone (909) 727-3911

Other practice location 1

4036 Grand Ave Ste A
Chino, CA 91710-5487
Phone (909) 465-5000

National Provider Directory

National Provider Directory
Part of
Lani City Medical

Locations

4036 Grand Ave
Ste A
Chino, CA 91710
Phone (909) 465-5000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1174309546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 PEYTON DR UNIT 2456",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097209",
            "telephone_number": "909-727-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W BASE LINE RD STE B",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763358",
            "telephone_number": "909-727-3911",
            "fax_number": "909-727-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105487",
            "country_code": "US",
            "telephone_number": "909-465-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANI CITY PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANI CITY MEDICAL",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "KHEMLANI",
        "authorized_official_first_name": "SUNIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-727-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.