Organization Active NPI

Socalhealth Inc. Ipa

  • Internal Medicine Physician
  • Redlands, CA
National Provider Identifier
1508683699
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOCALHEALTH INC. IPA
Practice address
405 Missouri CT
Redlands, CA 92373-8083
Phone
(909) 735-2446
Fax
(909) 206-1553
NPI assigned
Sep 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Syam KunamNPI 1578525499
Title
Ceo
Phone
(909) 289-4075

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

405 Missouri CT
Redlands, CA 92373-8083

Mailing address

405 Missouri CT
Redlands, CA 92373-8083
Phone (909) 735-2446

Other names 1

  • SoCalHealth Inc. IPA Other name

National Provider Directory

National Provider Directory

Locations

405 Missouri Ct
Redlands, CA 92373
Phone (909) 307-1320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1508683699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MISSOURI CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738083",
            "telephone_number": "909-735-2446",
            "fax_number": "909-206-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MISSOURI CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738083",
            "telephone_number": "909-735-2446",
            "fax_number": "909-206-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCALHEALTH INC. IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "KUNAM",
        "authorized_official_first_name": "SYAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-289-4075"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCalHealth Inc. IPA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.