Active NPI
Inland Healthcare Group
- Family Medicine Physician
- Fontana, CA
National Provider Identifier
1932383148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0062061 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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
- Inland Empire Congregate Care
- Inland Empire Spine
- Inland Empire Spine and Rehabilitation Medical Center
- Inland Healthcare Group
- Inland Healthcare Group
- Inland Healthcare Group a Medical Corporation
- Inland MRI LLC
- Inland OB/GYN Associates, a Medical Corporation
- Inland Optometric Associates
- Inland Physical Therapy and Spine Center, PC
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.