Employee Health Systems Medical Group Dba Inland Valleys Ipa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EMPLOYEE HEALTH SYSTEMS MEDICAL GROUP DBA INLAND VALLEYS IPA

Practice address

621 Carnegie Dr
Suite 180
San Bernardino, CA 92408-3536

Phone

(909) 291-1960

NPI assigned

May 23, 2007

Last updated

Feb 28, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

EMPLOYEE HEALTH SYSTEMS MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Dan L. Gomez

Title

Regional Vice President

Phone

(909) 291-1987

Specialties & licenses 1

Addresses

Tax ID family

Employee Health Systems Medical Group2 organizations share this tax ID, including this one

Part of

Employee Health Systems Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Employee Health Systems Medical Group

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1891905170
  NPD tax ID

Locations

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.

• Employee Health Systems Medical Group

  • Family Medicine Physician
  • Monterey Park, CA
  • NPI 1891905170
  NPPES parent name

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1235349523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CORPORATE CENTER DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917547626",
            "telephone_number": "213-406-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "SUITE 180",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "909-291-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPLOYEE HEALTH SYSTEMS MEDICAL GROUP DBA INLAND VALLEYS IPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMPLOYEE HEALTH SYSTEMS MEDICAL GROUP",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "909-291-1987"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emergency Medicine Physician Partners of San Bernardino County, Inc
• Emergency Medicine Physicians of San Bernardino County, Inc.
• Emergency Physicians Medical Group, Inc
• Empire Access Management
• Empire Medical Group, Inc
• Empower Wellness Clinic, a Nursing Corporation
• Emq Children & Family Services
• Emq Children and Family Services
• Faith Enfield, O.D.
• Kari Enge, MD

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.