Active NPI
Hussain Al-Darsani a Professional Corp
- Gastroenterology Physician
- Chino, CA
National Provider Identifier
1548443971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- HUSSAIN AL-DARSANI A PROFESSIONAL CORP
- Practice address
- 5562 Philadelphia St Ste 203
Chino, CA 91710-2482 - Phone
- (909) 287-0440
- Fax
- (909) 287-0145
- NPI assigned
- Dec 7, 2007
- 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
- Mr. Hussain Al-Darsani, M.D.
- Title
- Owner
- Phone
- (909) 287-0440
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
5562 Philadelphia St Ste 203
Chino, CA 91710-2482
Mailing address
PO Box 487
Upland, CA 91785-0487
Phone (909) 287-0440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A6878210 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Hussain Al Darsani MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gastroenterology Physician
- Chino, CA
- NPI 1790958262
Locations
13193 Central Ave
#S110
Chino, CA 91710
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": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1548443971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 487",
"city": "UPLAND",
"state": "CA",
"postal_code": "917850487",
"telephone_number": "909-287-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5562 PHILADELPHIA ST STE 203",
"city": "CHINO",
"state": "CA",
"postal_code": "917102482",
"telephone_number": "909-287-0440",
"fax_number": "909-287-0145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUSSAIN AL-DARSANI A PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "AL-DARSANI",
"authorized_official_first_name": "HUSSAIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-287-0440",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A6878210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.