Elite Ambulatory Services GP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE AMBULATORY SERVICES GP

Practice address

242 E Airport Dr Ste 100
San Bernardino, CA 92408-3408

Phone

(909) 317-4988

NPI assigned

Jul 29, 2025

Last updated

Jul 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baker Hillawy, MDNPI 1427408749

Title

Owner

Phone

(774) 444-1004

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Baker Hillawy, MD

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1427408749
  NPD Authorized official
• Nawal Badran, M.D.

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1215209846

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1760365498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 FOOTHILL BLVD # 103-338",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E AIRPORT DR STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083408",
            "telephone_number": "909-317-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE AMBULATORY SERVICES GP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "HILLAWY",
        "authorized_official_first_name": "BAKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-444-1004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey A Elder, M.D.
• Kenesha Octavia Elder
• Elenes Dental Corporation (Legacy Dental)
• Omar Elhanafy
• Anas Elias, MD
• Elite Cardiology Group Inc
• Elite Health Care Options LLC (Elite Home Health Care)
• Elite Nursing Professional Inc. (Rapid Testing On The Go)
• Elite Wellness Nursing PC
• Juan Elizalde

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.