IAM MEDICAL CLINIC (NPI# 1659613693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659613693 |
| Entity Type | Organization |
| Organization Name | IAM MEDICAL CLINIC |
| Practice Address |
5250 University Pkwy A San Bernardino CA 92407-7051 |
| Practice Telephone | 9096849334 |
| Practice Fax Number | 9094631426 |
| Mailing Telephone | 9096849334 |
| Mailing Fax Number | 9094631426 |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2013-03-16 |
| Authorized Official Name | CHIOMA KALU (DIRECTOR) |
| Authorized Official Telephone | 9096849334 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A102218 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1336387018 | 05 |
| Street Address |
5250 UNIVERSITY PKWY A |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92407-7051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789233 | Luis Enrique Macias | Case Manager/Care Coordinator | 26967 Beaumont Ave., Redlands Ca 92373, San Bernardino, CA 92407 | 2020-08-07 |
| 1619526209 | Louise E Curran | Social Worker | 6395 N Azalea Ave, San Bernardino, CA 92407 | 2019-09-06 |
| 1619496049 | Portia Monique Jackson | Licensed Vocational Nurse | 1022 Sunbrook Dr., San Bernardino, CA 92407 | 2017-09-18 |
| 1568988467 | Jon Michael Hensley | Behavior Technician | 1638 Windsor Street, San Bernardino, CA 92407 | 2017-08-22 |
| 1063933349 | Priority Rounds Transport, L.l.c | Non-emergency Medical Transport (VAN) | 18245 Evening Primrose Ln, San Bernardino, CA 92407 | 2017-06-27 |
| 1760927263 | Denkorach Inc | In Home Supportive Care | 1265 Kendall Drive, Unit 1614, San Bernardino, CA 92407 | 2016-12-20 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1811231384 | Lucindy Thomasina Fuller | Rehabilitation Practitioner | 1265 Kendall Dr, San Bernardino, CA 92407 | 2012-11-21 |
| 1578793337 | Shareela Marie Allen | Social Worker | 6791 N. Ofeila Drive, San Bernardino, CA 92407 | 2009-07-15 |
| 1720239304 | Alejandro Paul Holguin | Social Worker | 6076 Norma Ln, San Bernardino, CA 92407 | 2008-10-01 |
| Find all providers in zip 92407 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023326543 | Pliev Management Services | General Practice | 505 N Arrowhead Ave, San Bernardino, CA 92401-1200 | 2010-09-17 |
| 1831320860 | Bienvenido Banal Canlas | General Practice | 3905 Valencia Ave, San Bernardino, CA 92404-2456 | 2009-08-07 |
| 1104049378 | Daniel Franco Md, Inc | General Practice | 1800 Western Ave Ste 401, San Bernardino, CA 92411-1355 | 2007-04-10 |
| 1447315106 | Thach Ngoc Truong | General Practice | 385 E Mill St Ste 13, San Bernardino, CA 92408-1545 | 2006-12-23 |
| 1386606465 | Balbir Natt | General Practice | 7675 Sterling Ave, Suite C-d, San Bernardino, CA 92410-4738 | 2006-04-04 |
| 1235589086 | Jose De La Llana M.d.. Inc | General Practice | 850 W Highland Ave, Suite A, San Bernardino, CA 92405-3855 | 2016-06-13 |
| 1235526021 | Zachary John Paul | General Practice | 599 Inland Center Dr, San Bernardino, CA 92408-1843 | 2015-04-20 |
| 1689090060 | Justen Watkins | General Practice | 1800 Medical Center Drive, San Bernardino, CA 92411 | 2014-03-10 |
| 1093071052 | Rasha Saeed | General Practice | 599 Inland Center Dr Ste 105, San Bernardino, CA 92408-1819 | 2012-04-04 |
| 1487961421 | Pro Office Inc | General Practice | 399 E Highland Ave, 309, San Bernardino, CA 92404-3808 | 2010-09-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92407 |
Please comment or provide details below to improve the information on IAM MEDICAL CLINIC.
| 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.