Active NPI
One Source Healing, Inc.
- Family Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1578853800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9301
- Legal business name
- ONE SOURCE HEALING, INC.
- Practice address
- 7365 Carnelian St Ste 204
Rancho Cucamonga, CA 91730-1157 - Phone
- (909) 989-0808
- Fax
- (909) 989-6622
- NPI assigned
- Apr 7, 2011
- 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
- Dr. Moses Nasser, D.O.
- Title
- Ceo/Owner
- Phone
- (909) 989-0808
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9301 | CA | Primary |
Addresses
Primary practice location
7365 Carnelian St Ste 204
Rancho Cucamonga, CA 91730-1157
Mailing address
7365 Carnelian St Ste 204
Rancho Cucamonga, CA 91730-1157
Phone (909) 989-0808
National Provider Directory
National Provider DirectoryLocations
7365 Carnelian St
Ste 204
Rancho Cucamonga, CA 91730
Phone (909) 989-0808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1578853800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7365 CARNELIAN ST STE 204",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301157",
"telephone_number": "909-989-0808",
"fax_number": "909-989-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7365 CARNELIAN ST STE 204",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301157",
"telephone_number": "909-989-0808",
"fax_number": "909-989-6622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE SOURCE HEALING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-07",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "NASSER",
"authorized_official_first_name": "MOSES",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "909-989-0808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.