Active NPI
Advocate Family Medicine Clinic
- Family Medicine Physician
- San Dimas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVOCATE FAMILY MEDICINE CLINIC
- Practice address
- 1330 W Covina Blvd Ste 201
San Dimas, CA 91773-3200 - Phone
- (626) 999-9118
- Fax
- (626) 999-9133
- NPI assigned
- Oct 31, 2023
- Last updated
- Oct 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ameerah A Shalikar, MD
- Title
- Ceo
- Phone
- (951) 238-4749
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1330 W Covina Blvd Ste 201
San Dimas, CA 91773-3200
Mailing address
6191 Davidson St
Chino, CA 91710-1126
Phone (951) 238-4749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2308185 | Advocate Family Medicine Clinic | Certificate of waiver | Jul 22, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Pomona, CA
- NPI 1275911315
-
- Family Medicine Physician
- San Dimas, CA
- NPI 1396481891
-
- Family Medicine Physician
- Chino, CA
- NPI 1174988935
-
- Family Medicine Physician
- Chino, CA
- NPI 1558091231
-
- Family Medicine Physician
- Chino, CA
- NPI 1043905946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698710400000",
"number": "1366215683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6191 DAVIDSON ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917101126",
"telephone_number": "951-238-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 W COVINA BLVD STE 201",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917733200",
"telephone_number": "626-999-9118",
"fax_number": "626-999-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVOCATE FAMILY MEDICINE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "SHALIKAR",
"authorized_official_first_name": "AMEERAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-238-4749",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.