NPIMap

Organization Active NPI

JDCM Corporation

Doing business as Trinity Medical Clinic

  • Primary Care Clinic/Center
  • Ontario, CA
National Provider Identifier
1942793658
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JDCM CORPORATION
Doing business as
Trinity Medical Clinic
Practice address
1749 S Euclid Ave Ste a
Ontario, CA 91762-5832
Phone
(909) 972-0300
Fax
(909) 984-4878
NPI assigned
Jun 8, 2018
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Corazon C Manapat, FNPNPI 1629099742
Title
President
Phone
(909) 972-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1749 S Euclid Ave Ste a
Ontario, CA 91762-5832

Mailing address

1749 S Euclid Ave Ste a
Ontario, CA 91762-5832
Phone (909) 972-0300

Other names 1

  • Trinity Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1749 S Euclid Ave
Ste A
Ontario, CA 91762
Phone (760) 417-5558

Practitioners & affiliated clinicians

Practitioners 1

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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1942793658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625832",
            "telephone_number": "909-972-0300",
            "fax_number": "909-984-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 S EUCLID AVE STE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625832",
            "telephone_number": "909-972-0300",
            "fax_number": "909-984-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDCM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "MANAPAT",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-972-0300",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.