Organization Active NPI

Inland Healthcare Group, a Medical Corporation

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1235309428
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1376593889MedicaidCA
1235309428MedicaidCA

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.

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

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.

Verify at the official NPI Registry.