Organization Active NPI

Inland Healthcare Group

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1932383148
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INLAND HEALTHCARE GROUP
Practice address
17171 Foothill Blvd.
Suite E
Fontana, CA 92335
Phone
(909) 356-5757
Fax
(909) 356-5608
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Lisa Perko
Title
Cfo
Phone
(909) 335-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

17171 Foothill Blvd.
Suite E
Fontana, CA 92335

Mailing address

1980 Orange Tree LN
Suite 200
Redlands, CA 92374-4534
Phone (909) 335-7171

Other identifiers 1

IdentifierTypeStateIssuer
GR0062061MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1932383148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ORANGE TREE LN",
            "address_2": "SUITE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744534",
            "telephone_number": "909-335-7171",
            "fax_number": "909-335-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17171 FOOTHILL BLVD.",
            "address_2": "SUITE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-356-5757",
            "fax_number": "909-356-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "PERKO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-335-7171"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0062061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.