Organization Active NPI

Inland Heart and Vascular Medical Assoc Inc

  • Cardiovascular Disease Physician
  • San Bernardino, CA
National Provider Identifier
1942384862
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INLAND HEART AND VASCULAR MEDICAL ASSOC INC
Practice address
339 E Highland Ave
Suite 209
San Bernardino, CA 92404
Phone
(909) 883-8938
Fax
(909) 883-1739
NPI assigned
Oct 25, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Ashis Mukherjee, MD
Title
President Owner
Phone
(909) 883-8938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

339 E Highland Ave
Suite 209
San Bernardino, CA 92404

Mailing address

339 E Highland Ave Suite 209
San Bernardino, CA 92404
Phone (909) 883-8938

Other identifiers 1

IdentifierTypeStateIssuer
GR0093120MedicaidCA

National Provider Directory

National Provider Directory

Locations

12712 Heacock St
Ste 10
Moreno Valley, CA 92553
Phone (714) 247-1188

399 E Highland Ave
Ste 209
Sn Bernrdno, CA 92404
Phone (909) 883-8938

399 E Highland Ave
Ste 307
Sn Bernrdno, CA 92404
Phone (909) 881-7400

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1942384862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 E HIGHLAND AVE SUITE 209",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-883-8938",
            "fax_number": "909-883-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E HIGHLAND AVE",
            "address_2": "SUITE 209",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-883-8938",
            "fax_number": "909-883-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND HEART AND VASCULAR MEDICAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "MUKHERJEE",
        "authorized_official_first_name": "ASHIS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "909-883-8938",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.