INLAND HEALTHCARE GROUP A MEDICAL CORPORATION (NPI# 1174760953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174760953 |
| Entity Type | Organization |
| Organization Name | INLAND HEALTHCARE GROUP A MEDICAL CORPORATION |
| Practice Address |
17051 Sierra Lakes Pkwy Suite 101 Fontana CA 92336-1274 |
| Mailing Address |
Po Box 10488 San Bernardino CA 92423-0488 |
| Practice Telephone | 9094282040 |
| Practice Fax Number | 9094282191 |
| Mailing Telephone | 8883449111 |
| Mailing Fax Number | 9093357130 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | DR. CAREY PAUL (PRESIDENT) |
| Authorized Official Telephone | 9093357171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND HEALTHCARE GROUP A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1174760953 | 05 | |
| CA | 1265642052 | 05 | |
| CA | 1366516478 | 05 | |
| CA | 1871543850 | 05 | |
| CA | 1508052010 | 05 | |
| CA | 1629231147 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700836475 | Inland Healthcare Group A Medical Corporation | Family Medicine | 7291 Boulder Ave, Ste 2c, Highland, CA 92346-3389 | 2006-05-11 |
| 1740450923 | Inland Healthcare Group A Medical Corporation | Family Medicine | 1850 N Riverside Ave, Suite 180, Rialto, CA 92376-8071 | 2008-03-04 |
| Street Address |
17051 SIERRA LAKES PKWY SUITE 101 |
| City | FONTANA |
| State | CA |
| Zip Code | 92336-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558422931 | Rabia Manzoor | Pediatrics | 17051 Sierra Lakes Pkwy, Ste 101, Fontana, CA 92336-1274 | 2006-12-12 |
| 1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
| 1588907901 | Chester Tung | Family Medicine | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2013-04-03 |
| 1255612347 | Shi-ying Chang | Nurse Practitioner | 17051 Sierra Lakes Pkwy, Ste 101, Fontana, CA 92336-1274 | 2011-09-01 |
| 1750539391 | Tarquin Siam Williams | Physician Assistant | 17051 Sierra Lakes Pkwy, Fontana, CA 92336-1274 | 2008-09-08 |
| 1629231147 | Christi Lynn Wiley | Family Medicine | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2008-07-03 |
| 1275717506 | Alfonso Becerra Jr. | Physician Assistant | 17051 Sierra Lakes Pkwy, Fontana, CA 92336-1274 | 2007-12-21 |
| 1043411374 | Kristine Ryall | Nurse Practitioner | 17051 Sierra Lakes Pkwy, Ste 101, Fontana, CA 92336-1274 | 2007-05-31 |
| 1265642052 | Jose I Arciniega | Family Medicine | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700361243 | Schmidt and Jefferson Dental Corporation | Dentist | 16944 South Highland Avenue, Ste. 400, Fontana, CA 92336 | 2018-10-01 |
| 1275032658 | Kenitha Pulliam | Behavioral Analyst | 14051 Catalina Ct, Fontana, CA 92336 | 2018-02-12 |
| 1568961183 | Jordan Frailey | Marriage & Family Therapist | 9161 Sierra Ave. Suite 213, Fontana, CA 92336 | 2018-02-09 |
| 1689198905 | Sara Alyssa Lynch | Specialist/Technologist | 7151 Oak Tree Place, Fontana, CA 92336 | 2017-07-28 |
| 1043749526 | Eric Ceasar Parian Lopez | Registered Nurse | 16001 Pfc Paris Montanez Dr., Fontana, CA 92336 | 2017-06-08 |
| 1275065393 | Alyssa Calderon | Marriage & Family Therapist | 14335 Quail Ct, Fontana, CA 92336 | 2017-03-29 |
| 1588029219 | Daisy Maritza Santana | Behavioral Analyst | 16320 Rosa Linda Ln, Fontana, CA 92336 | 2015-12-23 |
| 1407237498 | Natalie Kathleen Herrera | Physician Assistant | 16456 Sierra Lakes Pkwy, Suite 300, Fontana, CA 92336 | 2015-06-15 |
| 1255738241 | Southern California Picc Providers, Inc. | Spec/Tech, Cardiovascular | 5787 Little Shay Dr, Fontana, CA 92336 | 2014-11-19 |
| 1396175758 | Martha C Ajca | Physician Assistant | 17051 Sierra Lakes Parkway, Suite 101, Fontana, CA 92336 | 2013-11-22 |
| Find all providers in zip 92336 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396391454 | Veronica Janell Bolanos | Family Medicine | 7133 Windermere Dr, Fontana, CA 92336-0893 | 2019-08-14 |
| 1346766839 | Angela Adaku Chijioke | Family Medicine | 14181 Redondo Ct, Fontana, CA 92336-3614 | 2017-08-17 |
| 1992182745 | Mary Perry | Family Medicine | 17264 Foothill Blvd Ste A, Fontana, CA 92335 | 2015-04-30 |
| 1720475478 | Guillermo Saenz Zavala | Family Medicine | 17234 Valley Blvd, Fontana, CA 92335 | 2015-04-21 |
| 1932383148 | Inland Healthcare Group | Family Medicine | 17171 Foothill Blvd., Suite E, Fontana, CA 92335 | 2007-12-24 |
| 1235318445 | Inland Healthcare Group | Family Medicine | 7430 Cherry Ave Ste 110, Fontana, CA 92336-4255 | 2007-10-24 |
| 1568585024 | R S Bir Md Inc | Family Medicine | 9792 Sierra Ave, Fontana, CA 92335-6717 | 2007-04-09 |
| 1720123094 | Muhammad Yaqub | Family Medicine | 13677 Foothill Blvd, Suite Q, Fontana, CA 92335-0505 | 2007-02-21 |
| 1982786620 | Compre Hensive Primary Care Medical Associates, Inc | Family Medicine | 7798 Cherry Ave, Fontana, CA 92336-4014 | 2006-10-20 |
| 1215022918 | Californi Medical Clinic Inc | Family Medicine | 16701 Valley Blvd, Fontana, CA 92335-6696 | 2006-10-04 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.