Active NPI
Professional Medical Care
- Durable Medical Equipment & Medical Supplies
- Chino, CA
National Provider Identifier
1851647143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PROFESSIONAL MEDICAL CARE
- Practice address
- 4774 Murietta St
Ste. 14
Chino, CA 91710-5155 - Phone
- (909) 517-0033
- Fax
- (909) 517-0057
- NPI assigned
- Jul 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yemane Woldegabriel
- Title
- Owner
- Phone
- (909) 517-0033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4774 Murietta St
Ste. 14
Chino, CA 91710-5155
Mailing address
4774 Murietta St
Ste. 14
Chino, CA 91710-5155
Phone (909) 517-0033
National Provider Directory
National Provider DirectoryLocations
4774 Murrieta St
Ste 14
Chino, CA 91710
Phone (909) 517-0033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557014400000",
"number": "1851647143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4774 MURIETTA ST",
"address_2": "STE. 14",
"city": "CHINO",
"state": "CA",
"postal_code": "917105155",
"telephone_number": "909-517-0033",
"fax_number": "909-517-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4774 MURIETTA ST",
"address_2": "STE. 14",
"city": "CHINO",
"state": "CA",
"postal_code": "917105155",
"telephone_number": "909-517-0033",
"fax_number": "909-517-0057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL MEDICAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-24",
"last_updated": "2019-05-05",
"status": "A",
"authorized_official_last_name": "WOLDEGABRIEL",
"authorized_official_first_name": "YEMANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-517-0033"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
- Oksana Pradun, FNP
- Premier Platinum Transportation LLC
- Gabriel Prieto
- Prime Access Medical Group
- Primecare Medical Group of Chino Valley
- Professional Nurses Group, Inc. (Aloha Healthcare)
- Professional Nurses Group, Inc. (Aloha Healthcare)
- Prohealth Logistics
- Prohealth Partners a Medical Group Inc
- Prototypes Womens Center Outpatient
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.