Organization Active NPI

Ashraf Eskander a Professional Medical Corporation

  • Hospitalist Physician
  • San Bernardino, CA
National Provider Identifier
1962651885
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A48837 Issued in CA
Legal business name
ASHRAF ESKANDER A PROFESSIONAL MEDICAL CORPORATION
Practice address
2101 N. Waterman Ave.
Ashraf Eskander, a Professional Medical Corporation
San Bernardino, CA 92404
Phone
(909) 884-9091
Fax
(909) 792-9417
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Ashraf Eskander, MDNPI 1790756070
Title
President
Phone
(909) 435-6162

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X A48837 CA Primary

Addresses

Primary practice location

2101 N. Waterman Ave.
Ashraf Eskander, a Professional Medical Corporation
San Bernardino, CA 92404

Mailing address

700 E. Redlands Blvd #V345
Redlands, CA 92373
Phone (909) 435-6162

Other identifiers 1

IdentifierTypeStateIssuer
00A488370MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081021000816 CA Part B Supplier - Clinic/Group Practice 7012075906 Receives reassigned benefits from 1 practitioner
Practice locations: Fontana, CA; San Bernardino, CA; Riverside, CA; Rialto, CA; Redlands, CA; Indio, CA; Highland, CA; Grand Terrace, CA…

National Provider Directory

National Provider Directory

Locations

700 E Redlands Blvd
#U345
Redlands, CA 92373
Phone (800) 858-4226

700 E Redlands Blvd
#V345
Redlands, CA 92373

2101 N Waterman Ave
#A
Sn Bernrdno, CA 92404
Phone (909) 884-9091

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1962651885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E. REDLANDS BLVD #V345",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-435-6162",
            "fax_number": "909-792-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N. WATERMAN AVE.",
            "address_2": "ASHRAF ESKANDER, A PROFESSIONAL MEDICAL CORPORATION",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-884-9091",
            "fax_number": "909-792-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHRAF ESKANDER A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "ESKANDER",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-435-6162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A48837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488370",
            "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 Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.