Inland Dermatology Medical Group Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INLAND DERMATOLOGY MEDICAL GROUP INC

Practice address

1666 North Waterman Avenue
San Bernardino, CA 92404

Phone

(909) 886-4965

Fax

(909) 886-8555

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leon E Schwartz, MD

Title

Physician Owner

Phone

(909) 886-4965

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447327168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 NORTH WATERMAN AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-886-4965",
            "fax_number": "909-886-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1666 NORTH WATERMAN AVENUE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-886-4965",
            "fax_number": "909-886-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND DERMATOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "909-886-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ46881Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "00A240290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inland Cardiothoracic Surgical Associates Medical Group
• Inland Cardiothoracic Surgical Associates Medical Group Inc
• Inland Cardiothoracic Surgical Associates Medical Group, Inc.
• Inland Counties Regional Center
• Inland Dental Center
• Inland Empire Autism Spectrum Disorder Assessment Center of Excellence
• Inland Empire Cardiovascular Consultants, Inc. (Pulse Cardiology)
• Inland Empire Community Outreach Center
• Inland Empire Counseling
• Inland Empire Health Centers (IEHC Family Medicine)

• Dermatology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.