Organization Active NPI

Inland Cardiothoracic Surgical Associates Medical Group, Inc.

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1780869826
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP, INC.
Practice address
401 E Highland Ave
Suite 251
San Bernardino, CA 92404-3803
Phone
(909) 881-1614
Fax
(909) 422-0130
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Terri King
Title
Director
Phone
(909) 881-1614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

401 E Highland Ave
Suite 251
San Bernardino, CA 92404-3803

Mailing address

401 E Highland Ave
Suite 251
San Bernardino, CA 92404-3803
Phone (909) 881-1614

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1780869826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE",
            "address_2": "SUITE 251",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043803",
            "telephone_number": "909-881-1614",
            "fax_number": "909-422-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE",
            "address_2": "SUITE 251",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043803",
            "telephone_number": "909-881-1614",
            "fax_number": "909-422-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND CARDIOTHORACIC SURGICAL ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-881-1614"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "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 Jan 8, 2008; 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.