Obdi Healthcare Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

OBDI HEALTHCARE INC

Practice address

10722 Arrow Rte Ste 512
Rancho Cucamonga, CA 91730-4840

Phone

(951) 204-0909

Fax

(909) 889-2816

NPI assigned

May 27, 2022

Organization subpart

No

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

Authorized official

Name

Miss Yolanda Patlan, PHYSICIAN ASSISTANT

Title

Ceo

Phone

(909) 938-9925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1487393500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 512",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304840",
            "telephone_number": "909-315-6431",
            "fax_number": "909-989-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10722 ARROW RTE STE 512",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304840",
            "telephone_number": "951-204-0909",
            "fax_number": "909-889-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBDI HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "PATLAN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-938-9925",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.