Organization Active NPI

Trucare Ipa Inc

  • Exclusive Provider Organization
  • Ontario, CA
National Provider Identifier
1629729355
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
TRUCARE IPA INC
Practice address
1749 S Euclid Ave Ste a
Ontario, CA 91762-5832
Phone
(909) 972-0300
Fax
(909) 984-4878
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Jose Benito Alvarez De la Llana, MD
Title
President
Phone
(909) 961-7881

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1749 S Euclid Ave Ste a
Ontario, CA 91762-5832

Mailing address

1749 S Euclid Ave Ste a
Ontario, CA 91762-5832
Phone (909) 972-0300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1629729355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625832",
            "telephone_number": "909-972-0300",
            "fax_number": "909-984-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625832",
            "telephone_number": "909-972-0300",
            "fax_number": "909-984-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUCARE IPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "DE LA LLANA",
        "authorized_official_first_name": "JOSE BENITO",
        "authorized_official_middle_name": "ALVAREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-961-7881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "Medical Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1749 S Euclid Ave Ste A",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917625832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.