NPIMap

Organization Active NPI

Cornerstone Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Bernardino, CA
National Provider Identifier
1447343223
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CORNERSTONE MEDICAL GROUP, INC.
Practice address
1881 Commercenter E
Suite 112
San Bernardino, CA 92408
Phone
(909) 890-1888
Fax
(909) 890-0196
NPI assigned
Oct 2, 2006
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Dr. Michele H Vandyke, D.C.NPI 1073560421
Title
Owner/Director
Phone
(909) 890-1888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1881 Commercenter E
Suite 112
San Bernardino, CA 92408

Mailing address

P.O. Box 351
San Bernardino, CA 92402-0351
Phone (909) 890-1888

National Provider Directory

National Provider Directory

Locations

1881 Commercenter E
Ste 112
San Bernardino, CA 92408
Phone (800) 847-6890

Practitioners & affiliated clinicians

Practitioners 4

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1447343223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 351",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924020351",
            "telephone_number": "909-890-1888",
            "fax_number": "909-890-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 COMMERCENTER E",
            "address_2": "SUITE 112",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-890-1888",
            "fax_number": "909-890-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-890-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.