Organization Active NPI

Inland Eye Institute Medical Group Inc

  • Ophthalmologic Surgery Clinic/Center
  • Colton, CA
National Provider Identifier
1669426250
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
INLAND EYE INSTITUTE MEDICAL GROUP INC
Practice address
1900 E Washington St
Colton, CA 92324-4614
Phone
(909) 825-3425
Fax
(909) 825-6991
NPI assigned
May 19, 2006
Last updated
Feb 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dr. Christopher L. Blanton, M.D.NPI 1336142892
Title
President
Phone
(909) 825-3425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

1900 E Washington St
Colton, CA 92324-4614

Mailing address

1900 E Washington St
Colton, CA 92324-4614
Phone (909) 825-3425

Other practice location 1

9481 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-5811
Phone (909) 937-9230

Other identifiers 1

IdentifierTypeStateIssuer
GR0029163MedicaidCA

National Provider Directory

National Provider Directory

Locations

264 N Highland Springs Ave
Ste 4B
Banning, CA 92220
Phone (951) 845-5317

9481 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 937-9230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1669426250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244614",
            "telephone_number": "909-825-3425",
            "fax_number": "909-825-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 E WASHINGTON ST",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244614",
            "telephone_number": "909-825-3425",
            "fax_number": "909-825-6991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9481 Haven Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305811",
            "country_code": "US",
            "telephone_number": "909-937-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLAND EYE INSTITUTE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-825-3425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.