San Bernardino Family Medical Services Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A51248 Issued in CA

Legal business name

SAN BERNARDINO FAMILY MEDICAL SERVICES INC

Doing business as

San Bernardino Family Medical Clinic

Practice address

404 W 9TH St
San Bernardino, CA 92401-1014

Phone

(909) 383-0050

Fax

(909) 383-0054

NPI assigned

Apr 16, 2010

Organization subpart

No

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

Authorized official

Name

Melvin Lewis, M.D

Title

Owner

Phone

(909) 383-0050

Specialties & licenses 1

Addresses

Other names 1

• San Bernardino Family Medical Clinic Doing business as

Locations

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1740506674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W 9TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011014",
            "telephone_number": "909-383-0050",
            "fax_number": "909-383-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W 9TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011014",
            "telephone_number": "909-383-0050",
            "fax_number": "909-383-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO FAMILY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-383-0050",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Bernardino Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Bernardino County Department of Public Health
• San Bernardino County Schools
• San Bernardino County Superintendent of Schools
• San Bernardino County/CCS
• San Bernardino Department of Public Health
• San Bernardino Fire Department
• San Bernardino Foot Clinic, Inc.
• San Bernardino Hospice and Palliative Care
• San Bernardino Hospice Care, Inc.
• San Bernardino Hospice Nurses

• General Practice Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.