Organization Active NPI

Vanguard Health

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fontana, CA
National Provider Identifier
1679119580
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
VANGUARD HEALTH
Practice address
10557 Juniper Ave Ste E2
Fontana, CA 92337-7589
Phone
(909) 356-4132
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Mr. Mark Ioele
Title
Owner
Phone
(909) 356-4132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

10557 Juniper Ave Ste E2
Fontana, CA 92337-7589

Mailing address

10557 Juniper Ave Ste E2
Fontana, CA 92337-7589
Phone (909) 356-4132

National Provider Directory

National Provider Directory

Locations

10557 Juniper Ave
Ste E2
Fontana, CA 92337
Phone (909) 356-4132

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1679119580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10557 JUNIPER AVE STE E2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "909-356-4132",
            "fax_number": "562-941-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10557 JUNIPER AVE STE E2",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377589",
            "telephone_number": "909-356-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "IOELE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-356-4132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.