Elevate MD Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELEVATE MD SERVICES

Practice address

16180 Dante PL
Fontana, CA 92336-5952

Phone

(909) 434-5910

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Cheyenne Chitry

Title

Ceo

Phone

(909) 434-5910

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1891569828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16180 DANTE PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365952",
            "telephone_number": "909-434-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16180 DANTE PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365952",
            "telephone_number": "909-434-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE MD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CHITRY",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-434-5910"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Fontana, CA
• Providers in Fontana, 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 Nov 9, 2023; 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.