Medix Healthcare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MEDIX HEALTHCARE, INC

Practice address

869 E Foothill Blvd Ste H
Upland, CA 91786-4063

Phone

(909) 985-9868

Fax

(909) 985-9868

NPI assigned

Sep 5, 2007

Organization subpart

No

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

Authorized official

Name

Cleveland San Juan Estrella, RN

Title

Administrator

Phone

(909) 985-9868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1861686693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063",
            "telephone_number": "909-985-9868",
            "fax_number": "909-985-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 E FOOTHILL BLVD STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864063",
            "telephone_number": "909-985-9868",
            "fax_number": "909-985-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "ESTRELLA",
        "authorized_official_first_name": "CLEVELAND",
        "authorized_official_middle_name": "SAN JUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-985-9868",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INITIAL APPLICATION",
            "identifier": "INTITAL APPLICATION",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Upland, CA
• Providers in Upland, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.