Active NPI
Love, Angela M.
- Clinical Medical Laboratory
- Rancho Cucamonga, CA
National Provider Identifier
1619346582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247ZC0005X | Other | CA | BUPA |
| 207SC0300X | Medicaid | CA | |
| 247ZC0005X | Other | CA | COVERED CALIFORNIA |
| 291U00000X | Other | CA | MEDICARE |
| 247ZC0005X | Other | CA | UNITED HEALTHCARE |
| 247ZC0005X | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.