Organization Active NPI

Angelina V Rodriguez

Doing business as empire ketone center

  • Clinical Medical Laboratory
  • Fontana, CA
National Provider Identifier
1487806295
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1089640 Issued in CA
Legal business name
ANGELINA V RODRIGUEZ
Doing business as
empire ketone center
Practice address
7426 Cherry Ave
Suite 210-213
Fontana, CA 92336-4221
Phone
(909) 684-1568
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Angelina V Rodriguez
Title
Owner
Phone
(909) 684-1568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1089640 CA Primary

Addresses

Primary practice location

7426 Cherry Ave
Suite 210-213
Fontana, CA 92336-4221

Mailing address

7426 Cherry Ave
Suite 210-213
Fontana, CA 92336-4221

Other names 1

  • empire ketone center Doing business as

National Provider Directory

National Provider Directory

Locations

7426 Cherry Ave
Ste 210213
Fontana, CA 92336
Phone (909) 684-1568

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1487806295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE",
            "address_2": "SUITE 210-213",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7426 CHERRY AVE",
            "address_2": "SUITE 210-213",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364221",
            "telephone_number": "909-684-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA V RODRIGUEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-684-1568"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1089640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "empire ketone center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.