INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION (NPI# 1528238961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528238961 |
| Entity Type | Organization |
| Organization Name | INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION |
| Practice Address |
2150 N Waterman Ave Suite 303 San Bernardino CA 92404-4811 |
| Mailing Address |
Po Box 10488 San Bernardino CA 92423-0488 |
| Practice Telephone | 9098864971 |
| Practice Fax Number | 9098830459 |
| Mailing Telephone | 9093357171 |
| Mailing Fax Number | 9093357139 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | DR. CAREY PAUL (PRESIDENT) |
| Authorized Official Telephone | 9093357171 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INLAND HEALTHCARE GROUP, A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BS/TRIWEST | ZZZ70178Z | 01 |
| CA | 1497965529 | 05 | |
| CA | 1528238961 | 05 | |
| CA | 1235351206 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235309428 | Inland Healthcare Group, A Medical Corporation | Family Medicine | 1033 N Waterman Ave, Suite E, San Bernardino, CA 92410-3823 | 2008-03-04 |
| 1811166218 | Inland Healthcare Group, A Medical Corporation | Pediatrics | 1800 Medical Center Dr, Suite 104, San Bernardino, CA 92411-1218 | 2008-02-29 |
| Street Address |
2150 N WATERMAN AVE SUITE 303 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898792 | Kofi Adade-boafo | Pediatrics | 2150 N Waterman Ave, Ste 200, San Bernardino, CA 92404-4811 | 2005-11-17 |
| 1619288115 | Brandon Jay Friedman | Optometrist | 2150 N Waterman Ave, Suite 201, San Bernardino, CA 92404-4811 | 2010-06-30 |
| 1952538779 | Tonya Maria Pinkerton | Physician Assistant | 2150 N Waterman Ave, 102, San Bernardino, CA 92404-4811 | 2009-06-18 |
| 1255577086 | Kha Dang Le and Anne Hangman Le Dmd Inc | Dentist | 2150 N Waterman Ave, Suite # 103, San Bernardino, CA 92404 | 2008-12-29 |
| 1700057056 | Anne Hongman Le | Dentist | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2008-03-14 |
| 1497965529 | Raymond A Cervenka | Physician Assistant | 2150 N Waterman Ave, San Bernardino, CA 92404-4811 | 2007-05-24 |
| 1679628069 | Arthur Friedman Od A Professional Optometric Corporation | Optometrist | 2150 N Waterman Ave, #201, San Bernardino, CA 92404-4811 | 2007-01-24 |
| 1609988526 | Lac Pharmacies Inc | Pharmacy | 2150 N Waterman Ave, Ste 104, San Bernardino, CA 92404-4811 | 2006-08-31 |
| 1487768743 | Bao Lou Nguyen | Dentist | 2150 N Waterman Ave, Ste 103, San Bernardino, CA 92404-4811 | 2006-08-17 |
| 1417963398 | Maria D Torres | Physician Assistant | 2150 N Waterman Ave, Ste 202, San Bernardino, CA 92404-4811 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982987095 | Apex Pediatrics Inc | Pediatrics | 399 E Highland Ave Ste 329, San Bernardino, CA 92404-3861 | 2011-09-25 |
| 1639400708 | Roshunda Michelle Coleman | Pediatrics | 190 E. Highland Blvd., San Bernardino, CA 92405-3658 | 2010-01-28 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1700058526 | Rishikesh S Chavan | Pediatrics | 250 E Caroline St Ste E, San Bernardino, CA 92408-3758 | 2008-04-01 |
| 1346412244 | Matthew Bryan Fong | Pediatrics | 250 S G St, San Bernardino, CA 92410-3320 | 2008-03-31 |
| 1629249859 | Tara Rithaporn Agena | Pediatrics | 565 North Mt Vernon Ave, San Bernardino, CA 92411-2661 | 2008-03-15 |
| 1073795027 | Irene Styadi Tsai | Pediatrics | 685 Carnegie Dr, Ste. #230, San Bernardino, CA 92408-3502 | 2007-12-01 |
| 1235351206 | Edgar Eduardo Alfaro- Mcfield | Pediatrics | 1800 Western Ave Ste 305, San Bernardino, CA 92411-1354 | 2007-05-02 |
| 1659497535 | Alan Irving Lee | Pediatrics | 1906 Commercenter E Ste 101, San Bernardino, CA 92408-3423 | 2007-03-22 |
| 1679612212 | Aena D Han | Pediatrics | 1505 W 17th St Ste 1, San Bernardino, CA 92411-1202 | 2007-02-06 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.