Organization Active NPI

Surgical Group of the Inland Empire

  • Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1376801696
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SURGICAL GROUP OF THE INLAND EMPIRE
Practice address
8680 Monroe CT
Ste 150
Rancho Cucamonga, CA 91730-4881
Phone
(909) 987-0899
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Jacob Haiavy, MD
Title
Owner
Phone
(909) 579-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8680 Monroe CT
Ste 150
Rancho Cucamonga, CA 91730-4881

Mailing address

8680 Monroe CT
Ste 150
Rancho Cucamonga, CA 91730-4881
Phone (909) 579-3111

National Provider Directory

National Provider Directory

Locations

8680 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 987-0899

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1376801696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8680 MONROE CT",
            "address_2": "STE 150",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304881",
            "telephone_number": "909-579-3111",
            "fax_number": "909-204-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 MONROE CT",
            "address_2": "STE 150",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304881",
            "telephone_number": "909-987-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP OF THE INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HAIAVY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-579-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2012; 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.