Hospitalist Corporation of Inland Empire

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HOSPITALIST CORPORATION OF INLAND EMPIRE

Practice address

9190 Haven Ave FL 1
Rancho Cucamonga, CA 91730-5431

Phone

(909) 630-7158

Fax

(909) 630-7983

NPI assigned

Mar 18, 2013

Reactivated

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Praveena Jeereddi, MD

Title

President

Phone

(909) 398-1550

Specialties & licenses 5

Addresses

Other names 1

• Haven Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Hospitalist Corporation of Inland Empire

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1124317615

  O20121015000288

  Same enrollment
• Hospitalist Corporation of Inland Empire, Inc.

  • Hospitalist Physician
  • Chino, CA
  • NPI 1194282095

  O20121015000288

  Same enrollment

Tax ID family

Hospitalist Corporation of Inland Empire Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Hospitalist Corporation of Inland Empire, Inc.

  • Hospitalist Physician
  • Chino, CA
  • NPI 1194282095
  NPD tax ID
• Hospitalist Corporation of Inland Empire, Inc.

  • Hospitalist Physician
  • Pomona, CA
  • NPI 1215494141
  NPD tax ID

Locations

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1295077295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 HAVEN AVE FL 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305431",
            "telephone_number": "909-630-7158",
            "fax_number": "909-630-7983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9616 Archibald Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307939",
            "country_code": "US",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITALIST CORPORATION OF INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "deactivation_date": "2023-04-26",
        "reactivation_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "JEEREDDI",
        "authorized_official_first_name": "PRAVEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-398-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Horrigan Enterprises, Inc., Norwood House
• Celena Horton, PSY.D, LCSW
• Izabelle Elyce Horton
• Hospice Care Providers, Inc.
• Hospice Spectrum Inland Empire
• Hospitality Care Transport
• Jordyn Hotchkiss
• Jennifer Ann Houger, M.S.
• Bonnie Jean Houlihan, L.C.S.W.
• Howard Siegel MD Inc

• All providers in Rancho Cucamonga, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.