NPIMap

Organization Active NPI

Health Service Alliance

  • Family Medicine Physician
  • Chino, CA
National Provider Identifier
1801307368
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH SERVICE ALLIANCE
Practice address
13193 Central Ave
Chino, CA 91710-4179
Phone
(909) 464-9675
Fax
(909) 590-3898
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
James Lally, DONPI 1285633867
Title
President
Phone
(909) 281-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

13193 Central Ave
Chino, CA 91710-4179

Mailing address

5050 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 281-5800

Other practice location 1

4651 Holt Blvd Ste G
Montclair, CA 91763-4730
Phone (909) 326-0414

Other identifiers 2

IdentifierTypeStateIssuer
1407306772MedicaidCA
1720120744MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040708000369 CA Part B Supplier - Clinic/Group Practice 4587642467 Receives reassigned benefits from 20 practitioners
6 other NPIs on this enrollment
Practice locations: Palm Desert, CA; Upland, CA; Rancho Cucamonga, CA; Montclair, CA; Hesperia, CA; Claremont, CA
O20191106003055 CA Part A Provider - Federally Qualified Health Center (FQHC) 4587642467 Practice locations: Chino, CA
O20191112002933 CA Part A Provider - Federally Qualified Health Center (FQHC) 4587642467 Practice locations: Montclair, CA
O20210622003022 CA Part A Provider - Federally Qualified Health Center (FQHC) 4587642467 Practice locations: Rancho Cucamonga, CA
O20221004003729 CA Part A Provider - Federally Qualified Health Center (FQHC) 4587642467 Practice locations: Palm Desert, CA

Federally qualified health center certification: CCN 921185

Legal name
HEALTH SERVICE ALLIANCE
Doing business as
CHINO VALLEY COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 20, 2019
Last certification
Nov 20, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 2003 in CA
Enrollment address
13193 Central Ave Ste 100
Chino, CA 91710-4179

Federally qualified health center certification: CCN 921194

Legal name
HEALTH SERVICE ALLIANCE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 17, 2019
Last certification
Sep 17, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 2003 in CA
Enrollment address
4651 Holt Blvd
Ste GHF
Montclair, CA 91763-4730

Federally qualified health center certification: CCN 921981

Legal name
HEALTH SERVICE ALLIANCE
Doing business as
THE S. NEWANDEE MD COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 19, 2021
Last certification
Jul 19, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 2003 in CA
Enrollment address
9804 Foothill Blvd
Rancho Cucamonga, CA 91730-3616

Federally qualified health center certification: CCN A01123

Legal name
HEALTH SERVICE ALLIANCE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 27, 2022
Last certification
Oct 27, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 27, 2003 in CA
Enrollment address
41990 Cook St
Ste 2002
Palm Desert, CA 92211-6105

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1029803Chino Valley Community Health Center13193 Central Ave Suite 100, Chino, CA 91710Certificate of waiverDec 15, 2027

National Provider Directory

National Provider Directory

Locations

16377 Main St
Ste A
Hesperia, CA 92345
Phone (760) 688-4808

4651 Holt Blvd
Ste G
Montclair, CA 91763
Phone (909) 326-0414

41990 Cook St
Ste F2002
Palm Desert, CA 92211

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory Hafif Individual Corporate DirectorBoard Member Jan 1, 2018 12.5%
5% Or Greater Direct Ownership Interest Jun 1, 2021
Corporate DirectorBoard Member Jun 1, 2021 12.5%
Health Service Alliance Organization, Chino, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 27, 2003 100%
5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
5% Or Greater Direct Ownership Interest Aug 1, 2022 100%
Earl Elrod Individual Corporate DirectorBoard Member Jan 1, 2018 12.5%
Corporate DirectorBoard Member Mar 19, 2019 8.33%
Ester Pipersky Individual Corporate DirectorBoard Member Jan 1, 2018 12.5%
5% Or Greater Direct Ownership Interest Jun 1, 2020
Corporate DirectorBoard Member Jun 1, 2021 12.5%
Jeffrey J Cox Individual Corporate OfficerCfo/Cio Mar 1, 2019 40%
5% Or Greater Direct Ownership Interest Jun 1, 2020
Corporate OfficerCfo/Cio/Ceo Jun 1, 2021 40%
Corporate OfficerChief Financial Officer Mar 19, 2019 33%
Operational/Managerial ControlManagerial Mar 19, 2019 33%
Juan Banos Individual Corporate DirectorBoard Member Jan 1, 2018 12.5%
5% Or Greater Direct Ownership Interest Jun 1, 2021
Corporate DirectorBoard Member Jun 1, 2021 12.5%
Corporate DirectorBoard Member - Treasurer Mar 19, 2019 8.33%
Sally Hernandez Individual W-2 Managing EmployeeBilling Manager Jan 1, 2019 5%
W-2 Managing EmployeeOffice Manager Jan 1, 2019 5%
James M Lally Individual Corporate OfficerChief Executive Officer Apr 1, 2026 50%
Jose Lopez Individual Corporate DirectorBoard Member - Vice President Mar 19, 2019 8.33%
William Ruh Individual Corporate DirectorBoard Member - President Mar 19, 2019 8.33%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Health Service AllianceClaremont, CA, CCN 921982 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2020
Rancho Cucamonga Community Health CenterRancho Cucamonga, CA, CCN A01179 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1801307368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SAN BERNARDINO ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632326",
            "telephone_number": "909-281-5800",
            "fax_number": "909-281-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104179",
            "telephone_number": "909-464-9675",
            "fax_number": "909-590-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4651 Holt Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917634730",
            "country_code": "US",
            "telephone_number": "909-326-0414",
            "fax_number": "909-326-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH SERVICE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LALLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-281-5800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407306772",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720120744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.