Industrial Medical Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A25818 Issued in CA

Legal business name

INDUSTRIAL MEDICAL CENTER

Practice address

91 E Grand Blvd
Corona, CA 92879-1340

Phone

(951) 272-2929

Fax

(951) 272-5847

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ralph D Dean, MD

Title

Ceo

Phone

(951) 272-2929

Specialties & licenses 1

Addresses

Tax ID family

Dean Bateman Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dean-Bateman Medical Group

  • Family Medicine Physician
  • Corona, CA
  • NPI 1518169622
  NPD tax ID

Locations

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1407129323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 E GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791340",
            "telephone_number": "951-272-2929",
            "fax_number": "951-272-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 E GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791340",
            "telephone_number": "951-272-2929",
            "fax_number": "951-272-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-272-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A25818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Immanuel Sobriety Inc.
• Increasing Capital LLC
• Independent Anesthesia Providers of California, a Medical Corporation
• Independent Options Inc
• Angeline Indra, DDS
• Infinity Medical Care, Inc.
• Infinity Wound Care Inc
• Infusion Partners 360 Consulting Group, LLC
• Nancy Iniguez-Padilla
• Inland Durable Medical Equipment &

• Medical Specialty Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Medical Specialty Clinic/Center in California

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