Provider Type Icon

RANCHO CUCAMONGA MEDICAL CENTER NPI 1043575459


NPI Information

NPI: 1043575459
Provider Name: RANCHO CUCAMONGA MEDICAL CENTER
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 05D2298288

Address:
7388 CARNELIAN ST
STE D
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 945-9982
Get Directions

RANCHO CUCAMONGA MEDICAL CENTER is a pain medicine physical medicine rehabilitation in Rancho Cucamonga, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. RANCHO CUCAMONGA MEDICAL CENTER NPI is 1043575459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7388 CARNELIAN ST
STE D
RANCHO CUCAMONGA, CA
ZIP 91730-160
Phone: (909) 945-9982

The provider's authorized official is Sariah Veirs .
The authorized official title is Office Manager and has the following contact phone number (909) 945-9982.

The CLIA number assigned to this NPI record is 05D2298288 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 10/22/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain MedicineNo
2111N00000XChiropractorCALIFORNIANo
3363A00000XPhysician AssistantCALIFORNIANo
42081P2900XPhysical Medicine & RehabilitationPain MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.