NPIMap

Organization Active NPI

Inland Empire Womans Center, Medical Associates

  • Obstetrics & Gynecology Physician
  • San Bernardino, CA
National Provider Identifier
1295270254
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
INLAND EMPIRE WOMANS CENTER, MEDICAL ASSOCIATES
Practice address
1800 Western Ave Ste 204
San Bernardino, CA 92411-1353
Phone
(909) 474-9952
Fax
(909) 474-9951
NPI assigned
Dec 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Jeffrey Ryan Langdon
Title
Ceo
Phone
(909) 474-9952

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Medical Specialty Clinic/Center 261QM2500X A109432 CA

Addresses

Primary practice location

1800 Western Ave Ste 204
San Bernardino, CA 92411-1353

Mailing address

1800 N. Western Ave
Suite 204
San Bernardino, CA 92411
Phone (909) 474-9952

Other practice location 1

1364 N. Waterman Ave
San Bernardino, CA 92404
Phone (909) 361-3061

National Provider Directory

National Provider Directory

Locations

3130 Inland Empire Blvd
Ste B
Ontario, CA 91764
Phone (909) 490-3110

1800 Western Ave
Ste 204
Sn Bernrdno, CA 92411
Phone (909) 473-1401

1364 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 361-3061

Practitioners & affiliated clinicians

Practitioners 7

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": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1295270254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N. WESTERN AVE",
            "address_2": "SUITE 204",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92411",
            "telephone_number": "909-474-9952",
            "fax_number": "909-474-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTERN AVE STE 204",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111353",
            "telephone_number": "909-474-9952",
            "fax_number": "909-474-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 N. Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92404",
            "country_code": "US",
            "telephone_number": "909-361-3061",
            "fax_number": "909-677-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLAND EMPIRE WOMANS CENTER, MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-474-9952"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A109432",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 26, 2024; 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.