Active NPI
Quiclinics Medical Partners
- Ambulatory Family Planning Facility
- San Bernardino, CA
National Provider Identifier
1609592252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Family Planning Facility
- Legal business name
- QUICLINICS MEDICAL PARTNERS
- Practice address
- 330 N D St Ste 306
San Bernardino, CA 92401-1545 - Phone
- (949) 786-2004
- NPI assigned
- Oct 17, 2022
- 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. Jay Francis Lamothe
- Title
- Executive Director
- Phone
- (949) 786-2004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Ambulatory Family Planning Facility | 261QA0005X | Primary |
Addresses
Primary practice location
330 N D St Ste 306
San Bernardino, CA 92401-1545
Mailing address
5319 University Dr Ste 232
Irvine, CA 92612-2965
Phone (949) 786-2004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6904043 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Quiclinics Medical Partners
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Clinic/Center
- Long Beach, CA
- NPI 1295205482
-
- Community Health Clinic/Center
- Compton, CA
- NPI 1306316591
-
- Community Health Clinic/Center
- Lynwood, CA
- NPI 1679083182
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1922876291
Locations
330 N D St
Ste 306
San Bernardino, CA 92401
Phone (949) 786-2004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1609592252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 UNIVERSITY DR STE 232",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122965",
"telephone_number": "949-786-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 N D ST STE 306",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011545",
"telephone_number": "949-786-2004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUICLINICS MEDICAL PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-15",
"status": "A",
"authorized_official_last_name": "LAMOTHE",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "949-786-2004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6904043",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.