Organization Active NPI

Medex Health Center

  • Community Health Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1720534720
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MEDEX HEALTH CENTER
Practice address
1600 N Arrowhead Ave
San Bernardino, CA 92405-4640
Phone
(909) 809-0289
Fax
(855) 233-7921
NPI assigned
Aug 30, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jun Chiong, MD, MPH
Title
Ceo / President
Phone
(909) 809-0289

National Provider Directory

National Provider Directory

Locations

1600 N Arrowhead Ave
San Bernardino, CA 92405
Phone (909) 809-0289

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 N Arrowhead Ave
San Bernardino, CA 92405-4640

Mailing address

1605 Valle del Sol
Redlands, CA 92373
Phone (909) 809-0289

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2016.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1720534720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 VALLE DEL SOL",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-809-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N ARROWHEAD AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054640",
            "telephone_number": "909-809-0289",
            "fax_number": "855-233-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "CHIONG",
        "authorized_official_first_name": "JUN",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "909-809-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 30, 2016; 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.