Organization Active NPI

Love, Angela M.

  • Clinical Medical Laboratory
  • Rancho Cucamonga, CA
National Provider Identifier
1619346582
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LOVE, ANGELA M.
Practice address
8816 Foothill Blvd # 103-238
Rancho Cucamonga, CA 91730-7199
Phone
(909) 231-8743
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Mrs. Angela M Love, RMA,BS, MBA PARTIAL
Title
Owner/Manager
Phone
(909) 231-8743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

8816 Foothill Blvd # 103-238
Rancho Cucamonga, CA 91730-7199

Mailing address

8816 Foothill Blvd # 103-238
Rancho Cucamonga, CA 91730-7199
Phone (909) 231-8743

Other identifiers 6

IdentifierTypeStateIssuer
247ZC0005XOtherCABUPA
207SC0300XMedicaidCA
247ZC0005XOtherCACOVERED CALIFORNIA
291U00000XOtherCAMEDICARE
247ZC0005XOtherCAUNITED HEALTHCARE
247ZC0005XMedicaidCA

National Provider Directory

National Provider Directory

Locations

8816 Foothill Blvd
#103238
Rancho Cucamonga, CA 91730
Phone (909) 231-8743

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1619346582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD # 103-238",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "909-231-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD # 103-238",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "909-231-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE, ANGELA M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "909-231-8743",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RMA,BS, MBA PARTIAL"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUPA",
            "identifier": "247ZC0005X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207SC0300X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVERED CALIFORNIA",
            "identifier": "247ZC0005X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "291U00000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "247ZC0005X",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247ZC0005X",
            "state": "CA"
        }
    ],
    "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 Sep 21, 2015; 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.