Inland Primary Care, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INLAND PRIMARY CARE, INC

Practice address

1910 Orange Tree LN Ste 320
Redlands, CA 92374-4500

Phone

(909) 793-2363

Fax

(909) 793-4593

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By 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

Cheng Wang, M.D.NPI 1205859089

Title

President

Phone

(909) 793-2363

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Cheng Wang, M.D.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1205859089
  Medicare reassignment NPD Authorized official
• William Angkadjaja, MD

  • Adult Medicine Physician
  • Redlands, CA
  • NPI 1871027722
  Medicare reassignment NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1881202661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ORANGE TREE LN STE 320",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744500",
            "telephone_number": "909-793-2363",
            "fax_number": "909-793-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ORANGE TREE LN STE 320",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744500",
            "telephone_number": "909-793-2363",
            "fax_number": "909-793-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND PRIMARY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-793-2363",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Gastroenterology Medical Associates Inc
• Inland Healthcare Management Group Inc
• Inland Midwife Services (The Birth Center)
• Inland Nephrology Medical Associates Inc
• Inland Nephrology Medical Associates, Inc.
• Inland Psychiatric Medical Group, Inc
• Inland Psychiatric Medical Group, Inc.
• Inland Psychiatric Medical Group, Inc.
• Inland Psychiatric Medical Group, Inc.
• Inland Surgery Center LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.