Organization Active NPI

Precise Healthcare Inc

  • Community/Retail Pharmacy
  • Fontana, CA
National Provider Identifier
1366001653
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRECISE HEALTHCARE INC
Doing business as
Primera Care Pharmacy
Practice address
17500 Foothill Blvd Ste a-7a
Fontana, CA 92335-3736
Phone
(714) 270-7432
Fax
(909) 360-8372
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Jinesh Patel, PHARMD
Title
President
Phone
(714) 270-7432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

17500 Foothill Blvd Ste a-7a
Fontana, CA 92335-3736

Mailing address

1113 Alta Ave Ste 100
Upland, CA 91786-2804
Phone (714) 270-7432

Other names 1

  • Primera Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224001217 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8325453343 Practice locations: Fontana, CA

National Provider Directory

National Provider Directory

Locations

17500 Foothill Blvd
Ste A7A
Fontana, CA 92335
Phone (714) 270-7432

1113 Alta Ave
Ste 100
Upland, CA 91786
Phone (714) 270-7432

Practitioners & affiliated clinicians

Practitioners 1

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": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1366001653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ALTA AVE STE 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862804",
            "telephone_number": "714-270-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 FOOTHILL BLVD STE A-7A",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353736",
            "telephone_number": "714-270-7432",
            "fax_number": "909-360-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-270-7432",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primera Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.