INLAND CENTER MEDICAL GROUP, P.C. (NPI# 1487613766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487613766 |
| Entity Type | Organization |
| Organization Name | INLAND CENTER MEDICAL GROUP, P.C. |
| Other Organization Name | INLAND CENTER MEDICAL GROUP |
| Practice Address |
8330 Red Oak Street Suite 101 Rancho Cucamonga CA 91730-0603 |
| Practice Telephone | 9099897551 |
| Practice Fax Number | 9099455427 |
| Mailing Telephone | 9099897551 |
| Mailing Fax Number | 9099455427 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | DHARMESH S. MEHTA (OWNER) |
| Authorized Official Telephone | 9099897551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Inland Center Medical Group | Doing Business As Name - Organization |
| Street Address |
8330 RED OAK STREET SUITE 101 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-0603 |
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|---|---|---|---|---|
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| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1962409474 | Haven Family Medical Center Inc. | Clinic/Center | 8599 Haven Ave, Ste 101, Rancho Cucamonga, CA 91730-4849 | 2005-06-30 |
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| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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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.