Primary Care Medical Group of Inland Empire, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

C2483376 Issued in CA

Legal business name

PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC

Practice address

1998 N Arrowhead Ave
San Bernardino, CA 92405-4116

Phone

(909) 882-0988

Fax

(909) 886-1301

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sunil Arora, MDNPI 1962583104

Title

Medical Director

Phone

(909) 882-0988

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Inland Sleep Center, A Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunil Arora, MD

  • Specialist
  • San Bernardino, CA
  • NPI 1962583104
  Medicare reassignment Authorized official
• Rani Saiju John, NP

  • Family Nurse Practitioner
  • El Segundo, CA
  • NPI 1104297803
  NPD
• Heebok Kim, MD

  • Specialist
  • San Bernardino, CA
  • NPI 1730260910
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1255412474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054116",
            "telephone_number": "909-882-0988",
            "fax_number": "909-886-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054116",
            "telephone_number": "909-882-0988",
            "fax_number": "909-886-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-882-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "C2483376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0078712",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN",
            "identifier": "DA7622",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Sleep Center, A Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lajae Price
• Sonya Prier
• Alexa Prieto Arciga
• Lisa L Prieto, M.S.
• Louis Stephen Prijatel, O.D.
• Prime Optical
• Natalie C Prince
• Amy Lea Printup
• Sheryll Lynn Prinz-McMillan, LMFT
• Priority Rounds Transport, L.L.C

• Multi-Specialty Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.