Organization Active NPI

Inland Family Healthcare Centers, Inc.

  • Family Medicine Physician
  • Upland, CA
National Provider Identifier
1427093277
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A7234 Issued in CA
Legal business name
INLAND FAMILY HEALTHCARE CENTERS, INC.
Practice address
300 N Euclid Ave
Suite B
Upland, CA 91786-8322
Phone
(909) 920-9100
Fax
(909) 920-9620
NPI assigned
Jun 17, 2006
Last updated
Mar 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Ms. Mary Diaz
Title
Manager
Phone
(909) 920-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A7234 CA Primary

Addresses

Primary practice location

300 N Euclid Ave
Suite B
Upland, CA 91786-8322

Mailing address

300 N Euclid Ave
Suite B
Upland, CA 91786-8322
Phone (909) 920-9100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090220000574 CA Part B Supplier - Clinic/Group Practice 5294890406 Receives reassigned benefits from 2 practitioners
Practice locations: Upland, CA; Rancho Cucamonga, CA; Pomona, CA; Ontario, CA; Claremont, CA

National Provider Directory

National Provider Directory

Locations

1661 S Euclid Ave
Ontario, CA 91762
Phone (909) 984-1620

1221 E Arrow Hwy
Upland, CA 91786
Phone (909) 958-1903

300 N Euclid Ave
Ste B
Upland, CA 91786
Phone (909) 217-5427

Practitioners & affiliated clinicians

Practitioners 2

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1427093277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868322",
            "telephone_number": "909-920-9100",
            "fax_number": "909-920-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N EUCLID AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868322",
            "telephone_number": "909-920-9100",
            "fax_number": "909-920-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND FAMILY HEALTHCARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-920-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A7234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.