Active NPI
Inland Empire Health Centers
Doing business as IEHC Family Medicine
- Family Medicine Physician
- San Bernardino, CA
National Provider Identifier
1558837153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INLAND EMPIRE HEALTH CENTERS
- Doing business as
- IEHC Family Medicine
- Practice address
- 1374 N Waterman Ave
San Bernardino, CA 92404-5313 - Phone
- (909) 252-7101
- Fax
- (909) 677-2090
- NPI assigned
- Oct 22, 2018
- Last updated
- Oct 22, 2018
- 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
- Jeffrey Ryan Langdon
- Title
- Administrator
- Phone
- (909) 936-9118
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1374 N Waterman Ave
San Bernardino, CA 92404-5313
Mailing address
1374 N Waterman Ave
San Bernardino, CA 92404-5313
Phone (909) 252-7101
Other names 1
- IEHC Family Medicine
National Provider Directory
National Provider Directory- Tax ID family
- Iehc Family Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba San Bernardino Urgent Care
- Urgent Care Clinic/Center
- San Bernardino, CA
- NPI 1972079572
Locations
1374 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (840) 444-7745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540166400000",
"number": "1558837153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045313",
"telephone_number": "909-252-7101",
"fax_number": "909-677-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1374 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045313",
"telephone_number": "909-252-7101",
"fax_number": "909-677-2090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND EMPIRE HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A",
"authorized_official_last_name": "LANGDON",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "909-936-9118"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IEHC Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
- Inland Dermatology Medical Group Inc
- Inland Empire Autism Spectrum Disorder Assessment Center of Excellence
- Inland Empire Cardiovascular Consultants, Inc. (Pulse Cardiology)
- Inland Empire Community Outreach Center
- Inland Empire Counseling
- Inland Empire Health Centers (San Bernardino Urgent Care)
- Inland Empire Job Corps Center
- Inland Empire Medical Imaging LLC
- Inland Empire Medical Network
- Inland Empire Outpatient Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.