Active NPI
Inland Healthcare Group, a Medical Corporation
- Family Medicine Physician
- San Bernardino, CA
National Provider Identifier
1235309428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION
- Practice address
- 1033 N Waterman Ave
Suite E
San Bernardino, CA 92410-3823 - Phone
- (909) 383-9385
- Fax
- (909) 383-4009
- NPI assigned
- Mar 4, 2008
- Organization subpart
- Yes
- Parent organization
- INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carey Paul
- Title
- President
- Phone
- (909) 335-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1033 N Waterman Ave
Suite E
San Bernardino, CA 92410-3823
Mailing address
PO Box 10488
San Bernardino, CA 92423-0488
Phone (888) 344-9111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376593889 | Medicaid | CA | |
| 1235309428 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Arrowwest Physician Ass
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.
-
- Family Medicine Physician
- Highland, CA
- NPI 1700836475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306195200000",
"number": "1235309428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10488",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230488",
"telephone_number": "888-344-9111",
"fax_number": "909-335-7130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N WATERMAN AVE",
"address_2": "SUITE E",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103823",
"telephone_number": "909-383-9385",
"fax_number": "909-383-4009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION",
"enumeration_date": "2008-03-04",
"last_updated": "2011-05-24",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "CAREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-335-7171",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376593889",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235309428",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Inland Empire Medical Network
- Inland Empire Outpatient Surgery Center
- 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
- Inland Heart and Vascular Medical Assoc Inc
- Inland Hematology-Oncology Medical Group Inc
- Inland OB-GYN Associates a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.