Family Primary and Specialty Care Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRIMARY AND SPECIALTY CARE CLINIC

Practice address

1210 Nevada St
Redlands, CA 92374-2895

Phone

(661) 425-0295

NPI assigned

Jun 3, 2025

Last updated

Jul 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Santana

Title

Treasurer

Phone

(661) 425-0295

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Abaza, M.D.

  • Dermatology Physician
  • Diamond Bar, CA
  • NPI 1831148501
  Medicare reassignment NPD

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1871487199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16297",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092297",
            "telephone_number": "661-425-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 NEVADA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742895",
            "telephone_number": "661-425-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRIMARY AND SPECIALTY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "SANTANA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "661-425-0295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert R Fajardo, PA
• Sabrina Fakhoury, APCC
• Elizabeth K Falk, PTA
• Brianna Fallon
• Family First Ventures Inc. (Home Instead)
• Michael John Fangman, DDS
• Fardad Borhani DMD Inc
• James R Farrage, DDS
• Alexis Fawcett
• FCMS

• Family Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.