NPIMap

Organization Active NPI

Premier Hospitalist Group Inc

Doing business as Premier Hospitalist Group of California

  • Hospitalist Physician
  • Upland, CA
National Provider Identifier
1619216553
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
PREMIER HOSPITALIST GROUP INC
Doing business as
Premier Hospitalist Group of California
Practice address
901 San Bernardino Rd
Suite 101
Upland, CA 91786-4912
Phone
(562) 236-3432
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ythanh Nguyen, M.D.NPI 1255391181
Title
President
Phone
(909) 579-6753

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)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

901 San Bernardino Rd
Suite 101
Upland, CA 91786-4912

Mailing address

8816 Foothill Blvd Ste 103
Rancho Cucamonga, CA 91730-7199
Phone (909) 579-6753

Other names 1

  • Premier Hospitalist Group of California Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507000114 CA Part B Supplier - Clinic/Group Practice 3971736596 Receives reassigned benefits from 6 practitioners
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

225 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

8816 Foothill Blvd
Ste 103
Rch Cucamonga, CA 91730
Phone (562) 236-3432

901 San Bernardino Rd
Ste 101
Upland, CA 91786
Phone (562) 236-3432

Practitioners & affiliated clinicians

Practitioners 9

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": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1619216553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD STE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "909-579-6753",
            "fax_number": "909-694-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN BERNARDINO RD",
            "address_2": "SUITE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864912",
            "telephone_number": "562-236-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOSPITALIST GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "YTHANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-579-6753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Hospitalist Group of California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier Hospitalist Group of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.