Functional Clinical Services

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

FUNCTIONAL CLINICAL SERVICES

Practice address

8832 Sierra Ave
Fontana, CA 92335-8649

Phone

(714) 505-9150

NPI assigned

Sep 13, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raul Chavez

Title

President

Phone

(714) 505-9150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1407138886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "714-505-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8832 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358649",
            "telephone_number": "714-505-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-505-9150"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J. Friedrichsen, MD
• Marshall Buckley Fryman, M.A.
• FTF Pharmacy Corporation (St Helens Medical Pharmacy)
• Carla Fucich
• Amparo Fuentes
• Deonica Marie Funn, ACSW
• Katrina Lorraine Furgerson Garza
• Kent Jerrold Fyfe, DDS
• Patty Fynaardt, PHARM.D.
• Tricia Lynn Fynewever, MD

• Other Specialist/Technologist in Fontana, CA
• Providers in Fontana, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.