NPIMap

Organization Active NPI

Physicians of Southern California Inc

  • Multi-Specialty Clinic/Center
  • Ontario, CA
National Provider Identifier
1710587670
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PHYSICIANS OF SOUTHERN CALIFORNIA INC
Practice address
1304 W Holt Blvd Ste a
Ontario, CA 91762-3640
Phone
(909) 542-2777
Fax
(909) 394-1800
NPI assigned
Oct 29, 2020
Last updated
Nov 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Dr. Aamir Zain Jamal, MDNPI 1558377523
Title
Owner
Phone
(909) 542-2777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Podiatric Clinic/Center 261QP1100X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1304 W Holt Blvd Ste a
Ontario, CA 91762-3640

Mailing address

1335 Cypress St Ste 205
San Dimas, CA 91773-3538
Phone (909) 542-2777

Other practice location 1

717 W Foothill Blvd
Monrovia, CA 91016-1940
Phone (909) 542-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210330002287 CA Part B Supplier - Clinic/Group Practice 8123435658 Receives reassigned benefits from 14 practitioners
Practice locations: Azusa, CA; Glendora, CA; Ontario, CA; Pasadena, CA; Riverside, CA

National Provider Directory

National Provider Directory

Locations

20540 E Arrow Hwy
Ste B
Covina, CA 91724
Phone (626) 364-3245

315 N 3rd Ave
Covina, CA 91723
Phone (626) 938-1165

315 E Route 66
#101
Glendora, CA 91740
Phone (626) 963-4124

1304 W Holt Blvd
Ste A
Ontario, CA 91762
Phone (626) 859-2249

3235 E Colorado Blvd
Pasadena, CA 91107

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1710587670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS ST STE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 W HOLT BLVD STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623640",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 W Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910161940",
            "country_code": "US",
            "telephone_number": "909-542-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS OF SOUTHERN CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "AAMIR",
        "authorized_official_middle_name": "ZAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-542-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.