Organization Active NPI

Professional Medical Care

  • Durable Medical Equipment & Medical Supplies
  • Chino, CA
National Provider Identifier
1851647143
Registry record updated May 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on May 5, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.