HAVEN FAMILY MEDICAL CENTER INC. (NPI# 1962409474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962409474 |
| Entity Type | Organization |
| Organization Name | HAVEN FAMILY MEDICAL CENTER INC. |
| Practice Address |
8599 Haven Ave Ste 101 Rancho Cucamonga CA 91730-4849 |
| Mailing Address |
8599 Haven Ave Ste # 101 Rancho Cucamonga CA 91730-4849 |
| Practice Telephone | 9094668888 |
| Practice Fax Number | 9094830164 |
| Mailing Telephone | 9094668888 |
| Mailing Fax Number | 9094830164 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ZAHER AZZAWI (FAMILY PRACTICE) |
| Authorized Official Telephone | 9094668888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
========= | CA | Ambulatory Health Care Facilities |
| Street Address |
8599 HAVEN AVE STE 101 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-4849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043665995 | Lisa Faith Sato | Physical Therapist | 8599 Haven Ave, Ste. 207, Rancho Cucamonga, CA 91730-4849 | 2016-04-28 |
| 1013247899 | Su-yu Li | Radiology | 8599 Haven Ave, Suite 300, Rancho Cucamonga, CA 91730-4849 | 2009-12-30 |
| 1891837258 | Hugh Derward Burke Jr. | Dentist | 8599 Haven Ave, Suite 105, Rancho Cucamonga, CA 91730-4849 | 2007-02-13 |
| 1356404164 | Maher Azzawi Dds Inc. | Clinic/Center | 8599 Haven Ave, Suite 101, Rancho Cucamonga, CA 91730-4849 | 2006-12-19 |
| 1326117516 | Primary Pediatric and Adolescent Clinic, Incorporated | Preferred Provider Organization | 8599 Haven Ave, Ste. 101, Rancho Cucamonga, CA 91730-4849 | 2006-11-06 |
| 1427152834 | Haven Family Medical Center, Inc. | Preferred Provider Organization | 8599 Haven Ave, Ste 101, Rancho Cucamonga, CA 91730-4849 | 2006-09-08 |
| 1568573582 | Regina Marie Leoni | Family Medicine | 8599 Haven Ave, Suite 106, Rancho Cucamonga, CA 91730-4849 | 2006-08-31 |
| 1568481042 | Sherman Ben Rhee | Radiology | 8599 Haven Ave, Suite 300, Rancho Cucamonga, CA 91730-4849 | 2006-07-18 |
| 1982644373 | Loma Linda Vamc | Clinic/Center | 8599 Haven Ave, Suite 102, Rancho Cucamonga, CA 91730-4849 | 2006-06-07 |
| 1659348050 | Navraj S Grewal | Radiology | 8599 Haven Ave, Suite 300, Rancho Cucamonga, CA 91730-4849 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 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... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750771077 | Rancho Cucamonga Orthopedic Pain Management, Inc. | Clinic/Center | 8599 Haven Ave Ste 104, Rancho Cucamonga, CA 91730-4849 | 2015-01-24 |
| 1487613766 | Inland Center Medical Group, P.C. | Clinic/Center | 8330 Red Oak Street, Suite 101, Rancho Cucamonga, CA 91730-0603 | 2006-03-23 |
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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.