Organization Active NPI

MHM Healthcare, Inc

  • Health Maintenance Organization
  • San Bernardino, CA
National Provider Identifier
1487425724
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MHM HEALTHCARE, INC
Practice address
301 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3559
Phone
(909) 332-5743
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Blair Tyler Bryson
Title
Administrator
Phone
(909) 212-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

301 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3559

Mailing address

301 E Vanderbilt Way Ste 400
San Bernardino, CA 92408-3559
Phone (909) 332-5743

National Provider Directory

National Provider Directory

Locations

301 E Vanderbilt Way
Ste 400
San Bernardino, CA 92408
Phone (909) 332-5743

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1487425724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E VANDERBILT WAY STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083559",
            "telephone_number": "909-332-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E VANDERBILT WAY STE 400",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083559",
            "telephone_number": "909-332-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHM HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "BRYSON",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-212-9996"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "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 Jan 15, 2024; 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.