NPIMap

Organization Active NPI

Sach Physician Billing Trust

  • Cardiovascular Disease Physician
  • Upland, CA
National Provider Identifier
1720194129
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SACH PHYSICIAN BILLING TRUST
Practice address
999 San Bernardino Rd
Upland, CA 91786-4920
Phone
(909) 484-2865
Fax
(909) 941-6974
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Lourdes Trigueros
Title
Trustee
Phone
(909) 484-2865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

999 San Bernardino Rd
Upland, CA 91786-4920

Mailing address

8816 Foothill Blvd
Suite 103-322
Rancho Cucamonga, CA 91730-7199
Phone (909) 484-2865

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ5184ZOtherCABLUE SHIELD GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930001115 CA Part B Supplier - Clinic/Group Practice 8729057229 Receives reassigned benefits from 13 practitioners
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

1532 W 11th St
Los Angeles, CA 90015

8816 Foothill Blvd
Ste 103322
Rancho Cucamonga, CA 91730
Phone (909) 424-2865

8816 Foothill Blvd
Ste 322
Rch Cucamonga, CA 91730

1868 Stone Ave
San Jose, CA 95125

1690 Story Rd
San Jose, CA 95122

47 S San Joaquin St
Stockton, CA 95202

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1720194129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD",
            "address_2": "SUITE 103-322",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SAN BERNARDINO RD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864920",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACH PHYSICIAN BILLING TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "TRIGUEROS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "909-484-2865"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "ZZZ5184Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.