NPIMap

Organization Active NPI

University Muslim Medical Association Inc

Doing business as UMMA Health Al Shifa Campus

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
National Provider Identifier
1538985338
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Doing business as
UMMA Health Al Shifa Campus
UMMA Health Al Shifa Clinic
Practice address
2334 N Sierra Way
San Bernardino, CA 92405-3546
Phone
(323) 789-5610
Fax
(323) 789-5616
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Authorized official

Name
Alfredo Reynoso
Title
Chief Operating Officer
Phone
(323) 647-1520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2334 N Sierra Way
San Bernardino, CA 92405-3546

Mailing address

6814 Pacific Blvd
Huntington Park, CA 90255-4197
Phone (323) 647-1520

Other names 2

  • UMMA Health Al Shifa Campus Doing business as
  • UMMA Health Al Shifa Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416000175 CA Part A Provider - Federally Qualified Health Center (FQHC) 8628173564 Practice locations: San Bernardino, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538985338. Details of each certification follow.

Federally qualified health center certification: CCN A11053

Legal name
UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 15, 2026
Last certification
Apr 15, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2334 N Sierra Way
San Bernardino, CA 92405-3546

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
University Muslim Medical Association Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Paul Wong Individual Corporate Director Jan 1, 2005
Yolanda Rojero Individual Corporate Director Oct 29, 2025
Munaf M Kadri Individual Corporate Director Feb 1, 2009
Emily Reed Individual Corporate Director May 22, 2019
Kathryn Hickman Windley Individual Corporate Director Apr 25, 2018
Sandra Perkins Individual Corporate Director Apr 24, 2024
Raziya Shaikh Individual Corporate Director Jan 1, 1997
Shaakira Madany Individual Corporate Director Mar 27, 2024
Alejandra Murillo Individual Corporate OfficerCfo Jul 20, 2020
W-2 Managing EmployeeAd; Jul 20, 2020
Vivianna Trujillo Individual Corporate Director Jan 1, 2011
Rumi Cader Individual Corporate Director Dec 18, 2020
Mehdireza Hirji Individual Corporate Director Jan 1, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1538985338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554197",
            "telephone_number": "323-647-1520",
            "fax_number": "323-789-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 N SIERRA WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053546",
            "telephone_number": "323-789-5610",
            "fax_number": "323-789-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MUSLIM MEDICAL ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "REYNOSO",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "323-647-1520"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMA Health Al Shifa Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UMMA Health Al Shifa Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.