Eminence Health Management Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EMINENCE HEALTH MANAGEMENT INC.

Practice address

557 N Central Ave
Upland, CA 91786-4241

Phone

(909) 608-7178

Fax

(909) 608-0939

NPI assigned

Dec 29, 2021

Last updated

Mar 28, 2023By 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

Maria Rodriguez

Title

Administrator

Phone

(909) 608-7178

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Kasein Gonzalez, MD

  • Family Medicine Physician
  • Orange, CA
  • NPI 1700049459
  Medicare reassignment NPD
• Farabi M. Hussain, MD

  • Surgery Physician
  • Colton, CA
  • NPI 1104866748
  NPD

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1780344820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864241",
            "telephone_number": "909-608-7178",
            "fax_number": "909-608-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 N CENTRAL AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864241",
            "telephone_number": "909-608-7178",
            "fax_number": "909-608-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE HEALTH MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-608-7178"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Jerome Ellis, C.P.
• Tammy Sue Elmblad
• Elsa Matsumoto Licensed Clinical Social Worker Inc.
• Emerald Gardens Hospice, Inc. (Butterfly Hospice)
• Emerge Industries LLC (Empire Medical Transport)
• Empire Foot and Ankle Center Inc.
• Empower Dental Upland Downtown Inc-Arkelakyan Dental Group Inc
• David Edward Engelhardt, M.D.
• Stephanie Enriquez
• Irene Kae Enzensperger, MD

• Primary Care Clinic/Center in Upland, CA
• Providers in Upland, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.