Active NPI
Trucare Ipa Inc
- Exclusive Provider Organization
- Ontario, CA
National Provider Identifier
1629729355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | URL | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Ontario, CA
- NPI 1326244062
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.