Inland Empire Extra Care

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A48743 Issued in CA

Legal business name

INLAND EMPIRE EXTRA CARE

Practice address

10841 White Oak Ave
Suite 107
Rancho Cucamonga, CA 91730-3811

Phone

(909) 483-8361

Fax

(909) 483-2070

NPI assigned

Apr 19, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Zaher Azzawi, M.DNPI 1184809337

Title

President

Phone

(909) 483-8361

Specialties & licenses 2

Addresses

Tax ID family

Inland Empire Extra Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Inland Empire Extra Care Inc.

  • Basic Emergency Medical Technician
  • Rancho Cucamonga, CA
  • NPI 1750551719
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zaher Azzawi, M.D.

  • Specialist
  • Rancho Cucamonga, CA
  • NPI 1184809337
  NPD Authorized official

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1942590351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-483-8361",
            "fax_number": "909-483-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 WHITE OAK AVE",
            "address_2": "SUITE 107",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303811",
            "telephone_number": "909-483-8361",
            "fax_number": "909-483-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EMPIRE EXTRA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-19",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "AZZAWI",
        "authorized_official_first_name": "ZAHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-483-8361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A48743",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "A48743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imerx Medical Services Inc
• Immediacy Urgent Care Inc.
• Infinity Medical Agency LLC
• Inland Center Medical Group, P.C. (Inland Center Medical Group)
• Inland Diagnostic Imaging (rancho open mri)
• Inland Empire Extra Care Inc.
• Inland Empire Health Plan
• Inland Empire Medical Nertwork, Inc.
• Inland Empire Medical Network (Chaffey Medical Group)
• Inland Empire Oral and Maxillofacial Surgeons

• Health Maintenance Organization in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.