NPIMap

Organization Active NPI

Inland Healthcare Group a Medical Corporation

  • Family Medicine Physician
  • Highland, CA
National Provider Identifier
1700836475
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INLAND HEALTHCARE GROUP A MEDICAL CORPORATION
Practice address
7291 Boulder Ave
Ste 2C
Highland, CA 92346-3389
Phone
(909) 862-4226
Fax
(909) 862-0319
NPI assigned
May 11, 2006
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Carey Paul, M.D.NPI 1376594804
Title
President
Phone
(909) 335-7171

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

7291 Boulder Ave
Ste 2C
Highland, CA 92346-3389

Mailing address

PO Box 10488
San Bernardino, CA 92423-0488
Phone (909) 335-7171

Other identifiers 3

IdentifierTypeStateIssuer
1730390865MedicaidCA
1376594804MedicaidCA
1700836475MedicaidCA

National Provider Directory

National Provider Directory

Locations

17051 W Casmalia St
Ste 101
Fontana, CA 92336

17171 Foothill Blvd
Fontana, CA 92335

17171 Foothill Blvd
Ste E
Fontana, CA 92335
Phone (909) 356-5757

7291 Boulder Ave
Highland, CA 92346
Phone (909) 425-8980

1850 N Riverside Ave
Ste 190
Rialto, CA 92376
Phone (909) 787-3031

329 N H St
San Bernardino, CA 92410

1880 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 886-4971

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1700836475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10488",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230488",
            "telephone_number": "909-335-7171",
            "fax_number": "909-335-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7291 BOULDER AVE",
            "address_2": "STE 2C",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463389",
            "telephone_number": "909-862-4226",
            "fax_number": "909-862-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND HEALTHCARE GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-335-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730390865",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376594804",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700836475",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.