Active NPI
Health Service Alliance
- Family Medicine Physician
- Upland, CA
National Provider Identifier
1205523958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTH SERVICE ALLIANCE
- Practice address
- 600 N Euclid Ave Ste 202
Upland, CA 91786-4779 - Phone
- (909) 281-5800
- NPI assigned
- Apr 21, 2023
- Organization subpart
- Yes
- Parent organization
- HEALTH SERVICE ALLIANCE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey J Cox
- Title
- Cfo
- Phone
- (909) 464-9675
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
600 N Euclid Ave Ste 202
Upland, CA 91786-4779
Mailing address
600 N Euclid Ave Ste 202
Upland, CA 91786-4779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1861181216
O20040708000369
National Provider Directory
National Provider Directory- Part of
- Health Service Alliance
Locations
954 W Foothill Blvd
Ste C
Upland, CA 91786
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Modesto, CA
- NPI 1003497421
-
- Physician Assistant
- Rancho Cucamonga, CA
- NPI 1750987855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1205523958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N EUCLID AVE STE 202",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N EUCLID AVE STE 202",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864779",
"telephone_number": "909-281-5800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH SERVICE ALLIANCE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEALTH SERVICE ALLIANCE",
"enumeration_date": "2023-04-21",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "909-464-9675"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.