NPIMap

Organization Active NPI

Lani City Medical

  • Urgent Care Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1417454844
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LANI CITY MEDICAL
Practice address
11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229
Phone
(909) 727-3911
Fax
(909) 727-3925
NPI assigned
Apr 11, 2018
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Suniel S. Khemlani, MDNPI 1053548644
Title
President
Phone
(909) 727-3911

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11398 Kenyon Way Ste J
Rancho Cucamonga, CA 91701-9229

Mailing address

14071 Peyton Dr Unit 2456
Chino Hills, CA 91709-7209
Phone (909) 727-3911

Other practice location 1

4036 Grand Ave Ste A
Chino, CA 91710-5487
Phone (909) 727-3911 ext. 2

Other practice location 2

150 W Base Line Rd Ste B
Rialto, CA 92376-3358
Phone (909) 727-3911 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720001353 CA Part B Supplier - Clinic/Group Practice 9436406550 Receives reassigned benefits from 3 practitioners
Practice locations: Chino, CA; Rancho Cucamonga, CA; Rialto, CA; Riverside, CA

National Provider Directory

National Provider Directory

Locations

4036 Grand Ave
Chino, CA 91710

11398 Kenyon Way
Rancho Cucamonga, CA 91701

150 W Base Line Rd
Rialto, CA 92376

150 W Base Line Rd
Ste B
Rialto, CA 92376
Phone 9097273911 ext. 3

2915 Van Buren Blvd
Ste J2
Riverside, CA 92503

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1417454844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 PEYTON DR UNIT 2456",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917097209",
            "telephone_number": "909-727-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 KENYON WAY STE J",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019229",
            "telephone_number": "909-727-3911",
            "fax_number": "909-727-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4036 Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917105487",
            "country_code": "US",
            "telephone_number": "909-727-3911 x2",
            "fax_number": "909-727-3925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 W Base Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923763358",
            "country_code": "US",
            "telephone_number": "909-727-3911 x3",
            "fax_number": "909-727-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LANI CITY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "KHEMLANI",
        "authorized_official_first_name": "SUNIEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-727-3911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "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 Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.