INLAND EMPIRE MEDICAL GROUP, INC (NPI# 1548823867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548823867 |
| Entity Type | Organization |
| Organization Name | INLAND EMPIRE MEDICAL GROUP, INC |
| Practice Address |
10250 Country Club Dr Ste A Jurupa Valley CA 91752-1328 |
| Practice Telephone | 9523326360 |
| Practice Fax Number | 9513320313 |
| Mailing Telephone | 9513326360 |
| Mailing Fax Number | 9513320313 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | MARC STRETTEN (CEO) |
| Authorized Official Telephone | 7144691690 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | C35815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578790 | Inland Empire Medical Group, Inc | General Practice | 506 W Graham Ave Ste 107, Lake Elsinore, CA 92530-3665 | 2020-04-28 |
| Street Address |
10250 COUNTRY CLUB DR STE A |
| City | JURUPA VALLEY |
| State | CA |
| Zip Code | 91752-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673462 | National Vision Inc | Optometrist | 12585 Cantu Galleano Ranch Road, Suite 120, Eastvale, CA 91752 | 2019-08-05 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1124681150 | Sleep Dme Management, Inc. | Home Health Aide | 12523 Limonite Avenie, #440-341, Mira Loma, CA 91752 | 2019-04-16 |
| 1255835179 | Costco Wholesale Corporation | Hearing Aid Equipment | 5030 Hamner Ave., Eastvale, CA 91752 | 2018-03-23 |
| 1487171963 | Devin Davis | Behavioral Analyst | 6632 Leanne St., Mira Loma, CA 91752 | 2017-08-25 |
| 1063946226 | Help Me Rhonda | Point of Service | 5919 Sunny Circle, Mira Loma, CA 91752 | 2017-04-14 |
| 1477930949 | Avinash Mirle Chandrashekar | Speech-Language Pathologist | 5725 Darbreak Dr, Apt C, Eastvale, CA 91752 | 2015-05-04 |
| 1336371061 | Prior Board & Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6121 Jupiter Dr., Mira Loma, CA 91752 | 2009-08-13 |
| 1245497288 | Elizabeth E Williamson | Dentist | 12571 Limonite Avenue, Suite 230, Mira Loma, CA 91752 | 2008-05-19 |
| 1003099425 | Dhama and Rodgers Dental Corporation | Dentist | 6445 Pat's Ranch Road, Ste G, Mira Loma, CA 91752 | 2007-12-07 |
| Find all providers in zip 91752 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247876 | Lori A Musto, Do | Family Medicine | 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 | 2020-05-28 |
| 1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
| 1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
| 1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
| 1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
| 1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
| 1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
| 1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
| 1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
| 1316046253 | Sam Shiesha | Family Medicine | 25101 Bear Valley Rd, Pmb 347, Tehachapi, CA 93561-8311 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
| City | JURUPA VALLEY |
| Zip Code | 91752 |
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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.