Organization Active NPI

Chino Valley Medical Center

  • Primary Care Clinic/Center
  • Chino, CA
National Provider Identifier
1265708572
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
PA17726 Issued in CA
Legal business name
CHINO VALLEY MEDICAL CENTER
Practice address
13152 Monte Vista Ave
Chino, CA 91710-4048
Phone
(909) 590-7093
Fax
(909) 590-7621
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Ms. Yvette Veronica Miramontes, PANPI 1275076069
Title
Physician Assistant
Phone
(909) 590-7093

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
Primary Care Clinic/Center 261QP2300X PA17726 CA Primary

Addresses

Primary practice location

13152 Monte Vista Ave
Chino, CA 91710-4048

Mailing address

13152 Monte Vista Ave
Chino, CA 91710-4048
Phone (909) 590-7093

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1265708572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13152 MONTE VISTA AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104048",
            "telephone_number": "909-590-7093",
            "fax_number": "909-590-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13152 MONTE VISTA AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104048",
            "telephone_number": "909-590-7093",
            "fax_number": "909-590-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MIRAMONTES",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "909-590-7093",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "PA17726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.