NPIMap

Organization Active NPI

San Bernardino County

  • Public Health or Welfare Agency
  • Ontario, CA
National Provider Identifier
1295463263
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SAN BERNARDINO COUNTY
Practice address
555 W. Maple St.
Ontario, CA 91762-5734
Phone
(800) 722-4777
NPI assigned
Aug 9, 2022
Organization subpart
Yes
Parent organization
SAN BERNARDINO COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Michael A. Sequeira, MD
Title
Health Officer
Phone
(909) 387-6218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

555 W. Maple St.
Ontario, CA 91762-5734

Mailing address

451 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3614
Phone (909) 387-6218

Other names 1

  • Ontario Maple Head Start Other name

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one
Part of
San Bernardino County D

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

555 W Maple St
Ontario, CA 91762
Phone (800) 722-4777

351 N Mountain View Ave
#303
San Bernardino, CA 92415

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1295463263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E VANDERBILT WAY STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083614",
            "telephone_number": "909-387-6218",
            "fax_number": "909-387-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W. MAPLE ST.",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625734",
            "telephone_number": "800-722-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN BERNARDINO COUNTY",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "SEQUEIRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "909-387-6218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ontario Maple Head Start",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ontario Maple Head Start",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.