Organization Active NPI

Inland Physicians Pulmonary Services

  • Pulmonary Disease Physician
  • Upland, CA
National Provider Identifier
1669064366
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
INLAND PHYSICIANS PULMONARY SERVICES
Practice address
637 N 13TH Ave
Upland, CA 91786-4906
Phone
(909) 985-9321
Fax
(909) 985-0842
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Shahram Khorrami, MDNPI 1306876123
Title
Partner
Phone
(909) 626-1205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

637 N 13TH Ave
Upland, CA 91786-4906

Mailing address

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231
Phone (909) 626-1205

Other practice location 1

9525 Monte Vista Ave Ste 105
Montclair, CA 91763-2231
Phone (909) 626-1205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210802003319 CA Part B Supplier - Clinic/Group Practice 4981008760 Receives reassigned benefits from 7 practitioners
Practice locations: Montclair, CA; Upland, CA; Rancho Cucamonga, CA; Pomona, CA; Ontario, CA; Chino, CA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1340 Highland Ave
Duarte, CA 91010
Phone (323) 262-9948

9525 Monte Vista Ave
Unit 205
Montclair, CA 91763

Practitioners & affiliated clinicians

Practitioners 8

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1669064366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 MONTE VISTA AVE STE 105",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632231",
            "telephone_number": "909-626-1205",
            "fax_number": "909-625-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864906",
            "telephone_number": "909-985-9321",
            "fax_number": "909-985-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 Monte Vista Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632231",
            "country_code": "US",
            "telephone_number": "909-626-1205",
            "fax_number": "909-625-1977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLAND PHYSICIANS PULMONARY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KHORRAMI",
        "authorized_official_first_name": "SHAHRAM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-626-1205",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.