FIRST CARE MEDICAL GROUP INC. (NPI# 1831612910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831612910 |
Entity Type | Organization |
Organization Name | FIRST CARE MEDICAL GROUP INC. |
Practice Address |
1655 N Mount Vernon Ave Ste B1 San Bernardino CA 92411-1427 |
Practice Telephone | (626) 497-0611 |
Mailing Telephone | 6264970611 |
Enumeration Date | 2017-07-20 |
Last Update Date | 2018-08-17 |
Authorized Official Name | MR. JOHN MALEK (ADMINISTRATOR) |
Authorized Official Telephone | 9095866260 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1655 N MOUNT VERNON AVE STE B1 |
City | SAN BERNARDINO |
State | CA |
Zip Code | 92411-1427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134142201 | Steven L Rosenblatt | Specialist | 1655 N Mount Vernon Ave Ste B1, San Bernardino, CA 92411-1427 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
Find all providers in zip 92411 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1417351420 | Family Health Inc. | Clinic/Center | 570 W 4th St Ste 101, San Bernardino, CA 92401-1438 | 2014-10-20 |
1093972945 | Robert M Deluca & A J Amerigo Ptr Dba Arrowview Chiropractic | Clinic/Center | 980 N D St, San Bernardino, CA 92410-3520 | 2008-05-19 |
1891862553 | Baseline Medical Clinic, Inc | Clinic/Center | 330 N D St Ste 300, San Bernardino, CA 92401-1522 | 2006-11-29 |
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Find all providers with the same taxonomy |
City | SAN BERNARDINO |
Zip Code | 92411 |
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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.