Active NPI
MHM Healthcare, Inc
- Health Maintenance Organization
- San Bernardino, CA
National Provider Identifier
1487425724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.