Organization Active NPI

One Source Healing, Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1578853800
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9301 Issued in CA
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

Updated by the provider on Apr 7, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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": []
}

Other providers in Rancho Cucamonga, CA

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.

Verify at the official NPI Registry.