Organization Active NPI

Foothill Healthcare Management Group, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1710378583
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
FOOTHILL HEALTHCARE MANAGEMENT GROUP, INC
Practice address
7965 Vineyard Ave
Unit F6
Rancho Cucamonga, CA 91730-2313
Phone
(909) 222-4044
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Constance Moonzwe
Title
Secretary
Phone
(909) 222-4044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

7965 Vineyard Ave
Unit F6
Rancho Cucamonga, CA 91730-2313

Mailing address

7965 Vineyard Ave
Unit F6
Rancho Cucamonga, CA 91730-2313
Phone (909) 222-4044

National Provider Directory

National Provider Directory

Locations

7965 Vineyard Ave
Ste F6
Rancho Cucamonga, CA 91730
Phone (909) 285-2278

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1710378583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7965 VINEYARD AVE",
            "address_2": "UNIT F6",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917302313",
            "telephone_number": "909-222-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 VINEYARD AVE",
            "address_2": "UNIT F6",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917302313",
            "telephone_number": "909-222-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL HEALTHCARE MANAGEMENT GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "MOONZWE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "909-222-4044"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.