Organization Active NPI

Inland Empire Health Plan

  • Health Maintenance Organization
  • Rancho Cucamonga, CA
National Provider Identifier
1225139546
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G55690 Issued in CA
Legal business name
INLAND EMPIRE HEALTH PLAN
Practice address
10801 6TH Street
Rancho Cucamonga, CA 91730
Phone
(909) 890-2000
Fax
(909) 890-2019
NPI assigned
Sep 26, 2006
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Dr. Bradley Paul Gilbert, M.D.NPI 1114074465
Title
Chief Executive Officer
Phone
(909) 890-2000

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
Health Maintenance Organization 302R00000X G55690 CA Primary

Addresses

Primary practice location

10801 6TH Street
Rancho Cucamonga, CA 91730

Mailing address

10801 6TH Street
Rancho Cucamonga, CA 91730
Phone (909) 890-2000

National Provider Directory

National Provider Directory

Locations

10801 6th St
Rancho Cucamonga, CA 91730
Phone (800) 440-4347

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1225139546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 6TH STREET",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-890-2000",
            "fax_number": "909-890-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 6TH STREET",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-890-2000",
            "fax_number": "909-890-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE HEALTH PLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-890-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G55690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.