Organization Active NPI

Advanced Empire Medical Center LLC

Doing business as Advanced Family Medical Clinic

  • Primary Care Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1700773785
Registry record updated Jun 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ADVANCED EMPIRE MEDICAL CENTER LLC
Doing business as
Advanced Family Medical Clinic
Practice address
1016 N D St
San Bernardino, CA 92410-3522
Phone
(909) 371-1120
Fax
(909) 752-5245
NPI assigned
Jun 21, 2025
Last updated
Jun 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2025

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

Authorized official

Name
Thien Hieu Van, MD
Title
Medical Director
Phone
(626) 255-9311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

1016 N D St
San Bernardino, CA 92410-3522

Mailing address

1016 N D St
San Bernardino, CA 92410-3522
Phone (909) 371-1120

Other names 1

  • ADVANCED FAMILY MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

1016 N D St
Sn Bernrdno, CA 92410
Phone (626) 255-9311

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1700773785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103522",
            "telephone_number": "909-371-1120",
            "fax_number": "909-752-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103522",
            "telephone_number": "909-371-1120",
            "fax_number": "909-752-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EMPIRE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "THIEN",
        "authorized_official_middle_name": "HIEU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "626-255-9311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.