Partner Healthcare Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49070 Issued in CA

Legal business name

PARTNER HEALTHCARE INC

Practice address

4761 Arrow Hwy
Montclair, CA 91763-1209

Phone

(909) 625-2525

Fax

(909) 625-2500

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Henry Chang

Title

Pic

Phone

(626) 590-6666

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• INLAND VALLEY CARE Doing business as

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1659533735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631209",
            "telephone_number": "909-625-2525",
            "fax_number": "909-625-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 ARROW HWY",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917631209",
            "telephone_number": "909-625-2525",
            "fax_number": "909-625-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNER HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "626-590-6666"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659533735",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5630733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INLAND VALLEY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leilani Palomares
• Justine Nicole Palomino
• Alana Sierra Pantoja
• Heather Paraspolo
• Keandra Parker
• Kiandokht Partovi, M.D.
• Amiel R Patel, DDS
• Ashmi Patel, O.D
• Bhumi Kaushik Patel
• Rita Vishnu Patel, DDS

• Long Term Care Pharmacy in Montclair, CA
• Providers in Montclair, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.