Norma Bachoura MD Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G75576 Issued in CA

Legal business name

NORMA BACHOURA MD INC

Doing business as

Norma Bachoura

Practice address

150 W Foothill Blvd
San Dimas, CA 91773-1102

Phone

(909) 599-9925

NPI assigned

Jul 3, 2008

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Norma Bachoura Doing business as

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

CLIA laboratory certificates

Part of

Tri - State Medical Group Inc

Locations

Practitioners 1

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

• Norma E Bachoura, M.D.

  • Family Medicine Physician
  • San Dimas, CA
  • NPI 1235191131
  NPD

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1336302843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W FOOTHILL BLVD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731102",
            "telephone_number": "909-599-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA BACHOURA MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2008-07-03",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G75576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norma Bachoura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jim Nguyen, D.O.
• Kenneth Khanh Nguyen
• Phuoc Huu Nguyen, MD
• Toan Duy Nguyen, D.D.S.
• Norma Bachoura M D Inc
• Megan Norton, MOT, OTR/L
• Ashley O'Toole, OTR/L
• Jacqueline Ocampo
• Romel Samia Ocampo, PT
• Alyssa Ogaz

• Non-Pharmacy Dispensing Site in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.