Organization Active NPI

Kattash Medical Corporation

  • Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1417226648
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A88104 Issued in CA
Legal business name
KATTASH MEDICAL CORPORATION
Practice address
8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883
Phone
(909) 987-9100
Fax
(909) 987-9113
NPI assigned
Dec 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Mrs. Ana Arriaga
Title
Office Manager
Phone
(909) 987-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A88104 CA Primary

Addresses

Primary practice location

8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883

Mailing address

8710 Monroe CT
Suite 250
Rancho Cucamonga, CA 91730-4883
Phone (909) 987-9100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1417226648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT",
            "address_2": "SUITE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304883",
            "telephone_number": "909-987-9100",
            "fax_number": "909-987-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT",
            "address_2": "SUITE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304883",
            "telephone_number": "909-987-9100",
            "fax_number": "909-987-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATTASH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "ARRIAGA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-987-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A88104",
            "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 Dec 16, 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.