Sun Coast West Medical Clinic, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G44785 Issued in CA

Legal business name

SUN COAST WEST MEDICAL CLINIC, INC.

Practice address

1045 W Foothill Blvd
Upland, CA 91786-3731

Phone

(909) 985-7188

Fax

(909) 373-2007

NPI assigned

Sep 30, 2009

Last updated

Sep 30, 2009By 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

Dr. Louis C. Redix Jr., M.D.

Title

Owner

Phone

(909) 985-7188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sandee Lucero, N.P.

  • Women's Health Nurse Practitioner
  • Upland, CA
  • NPI 1699180216
  NPD (past)

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1760716278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863731",
            "telephone_number": "909-985-7188",
            "fax_number": "909-373-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863731",
            "telephone_number": "909-985-7188",
            "fax_number": "909-373-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN COAST WEST MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "REDIX",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-985-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G44785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Quasar Sugihara, M.D.
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• Melinda Ann Summers Sandoval, MSW, ACSW, PPSC
• Summit Psychological Services, a Professional Psych
• Sun Medical Equipment Inc. (Sun Medical Supplies)
• Sandra Sun, PHARMD
• Sung Ahn DDS, Inc.
• Sunil K. Saini M.D.,Inc.
• Sunny Life Family Counseling Corp

• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.