Organization Active NPI

Doctors Medical Plaza Inc

  • Internal Medicine Physician
  • Chino, CA
National Provider Identifier
1831700970
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DOCTORS MEDICAL PLAZA INC
Practice address
5343 Riverside Dr
Chino, CA 91710-4252
Phone
(909) 465-9337
Fax
(909) 627-8106
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Nidia Colomer de Saca, MDNPI 1790880854
Title
Vice President
Phone
(909) 465-9337

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5343 Riverside Dr
Chino, CA 91710-4252

Mailing address

5343 Riverside Dr
Chino, CA 91710-4252
Phone (909) 465-9337

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1831700970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-465-9337",
            "fax_number": "909-627-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104252",
            "telephone_number": "909-465-9337",
            "fax_number": "909-627-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL PLAZA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "COLOMER DE SACA",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "VICE  PRESIDENT",
        "authorized_official_telephone_number": "909-465-9337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.