Organization Active NPI

Nephrology Associates of Upland and Pomona

  • Nephrology Physician
  • Upland, CA
National Provider Identifier
1982631222
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA
Practice address
1317 W Foothill Blvd Ste 148
Upland, CA 91786-3675
Phone
(909) 981-5882
Fax
(909) 373-2828
NPI assigned
Jun 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Margaret Heng
Title
Manager
Phone
(909) 981-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X CA Primary

Addresses

Primary practice location

1317 W Foothill Blvd Ste 148
Upland, CA 91786-3675

Mailing address

PO Box 1869
Upland, CA 91785-1869
Phone (909) 981-5882

Other identifiers 5

IdentifierTypeStateIssuer
GR0025731MedicaidCA
GR0025734MedicaidCA
GR0025730MedicaidCA
GR0025733MedicaidCA
GR0025732MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050124000648 CA Part B Supplier - Clinic/Group Practice 2264482744 Receives reassigned benefits from 6 practitioners
Practice locations: Fontana, CA; Pomona, CA; Upland, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113168Nephrology Associates of Upland1317 W Foothill Blvd Ste 148, Upland, CA 91786Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

16655 Foothill Blvd
Ste 301
Fontana, CA 92335
Phone (909) 946-3802

1902 Royalty Dr
Ste 115
Pomona, CA 91767

1902 Royalty Dr
Ste 200
Pomona, CA 91767
Phone (909) 629-2290

1902 Royalty Dr
Ste 230
Pomona, CA 91767
Phone (909) 984-5882

8219 Rochester Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 466-5489

1881 Commercenter E
Ste 118
Sn Bernrdno, CA 92408
Phone (410) 409-4286

1317 W Foothill Blvd
Ste 115
Upland, CA 91786
Phone (909) 946-2267

366 E Foothill Blvd Ste B
Upland, CA 91786

536 E Foothill Blvd
#D
Upland, CA 91786

Practitioners & affiliated clinicians

Practitioners 6

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": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982631222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917851869",
            "telephone_number": "909-981-5882",
            "fax_number": "909-385-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W FOOTHILL BLVD STE 148",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863675",
            "telephone_number": "909-981-5882",
            "fax_number": "909-373-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES OF UPLAND AND POMONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "HENG",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-981-5882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025731",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025734",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025730",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025733",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.