Organization Active NPI

Inland Interventional Medical Associates, Inc.

  • Interventional Pain Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1295978427
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
G80002 Issued in CA
Legal business name
INLAND INTERVENTIONAL MEDICAL ASSOCIATES, INC.
Practice address
9327 Fairway View PL Ste 210
Rancho Cucamonga, CA 91730-0970
Phone
(909) 758-0411
Fax
(909) 758-0711
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. James I Rho, M.D.,NPI 1548323769
Title
Ceo
Phone
(909) 758-0411

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X G80002 CA Primary

Addresses

Primary practice location

9327 Fairway View PL Ste 210
Rancho Cucamonga, CA 91730-0970

Mailing address

PO Box 11238
San Bernardino, CA 92423-1238
Phone (909) 758-0411

Other names 1

  • JAMES I RHO MD, INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090617000148 CA Part B Supplier - Clinic/Group Practice 3870643646 Receives reassigned benefits from 1 practitioner
Practice locations: Redlands, CA; Rancho Cucamonga, CA
O20110503000667 CA DME Supplier - Physician - General Practice 3870643646 Practice locations: Rancho Cucamonga, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1097292Inland Interventional Medical Assoc9327 Fairway View PT, Suite 210, Rancho Cucamonga, CA 91730Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

255 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 793-6871

Practitioners & affiliated clinicians

Practitioners 2

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1295978427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11238",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924231238",
            "telephone_number": "909-758-0411",
            "fax_number": "909-758-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 FAIRWAY VIEW PL STE 210",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300970",
            "telephone_number": "909-758-0411",
            "fax_number": "909-758-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND INTERVENTIONAL MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "RHO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-758-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "G80002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES I RHO MD, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.