CAL MED VASCULAR CENTER LLC (NPI# 1255826038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255826038 |
| Entity Type | Organization |
| Organization Name | CAL MED VASCULAR CENTER LLC |
| Practice Address |
1281 W C St Colton CA 92324 |
| Mailing Address |
410 Alabama St Ste 105 Redlands CA 92373-8088 |
| Practice Telephone | 9095803353 |
| Practice Fax Number | 9095801363 |
| Mailing Telephone | 9095803353 |
| Mailing Fax Number | 9095801363 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | OLIVIA MENDOZA (SECRETARY) |
| Authorized Official Telephone | 9095803353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1281 W C ST |
| City | COLTON |
| State | CA |
| Zip Code | 92324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934297 | Carolyn G Kennis Crna Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | 1281 W C St, Colton, CA 92324-1916 | 2020-08-28 |
| 1982181939 | Cal Med Endoscopy Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324-1916 | 2018-07-23 |
| 1811482698 | Cal Med Asc LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| 1710403407 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 898 Via Lata, Suite E, Colton, CA 92324 | 2017-08-15 |
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| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811222078 | Mt. Vernon Medical Clinic | Clinic/Center | 1023 S Mount Vernon Ave, Colton, CA 92324-4202 | 2009-10-06 |
| 1336615731 | American Current Care of California, A Medical Corporation | Clinic/Center | 850 E Washington St, Colton, CA 92324-8101 | 2018-10-23 |
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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.