DIGNITY HEALTH MEDICAL FOUNDATION NPI 1053653873

NPI Information

  • NPI: 1053653873
  • Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA
  • CLIA Number: 05D2060636
  • Address: 4240 HIGHLAND AVE
    SUITE B
    HIGHLAND, CA
    ZIP 92346
  • Phone: (805) 383-5258

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NPI Details

DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Highland, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1053653873. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea.

The provider's business location address is:

4240 HIGHLAND AVE
SUITE B
HIGHLAND, CA
ZIP 92346-764
Phone: (805) 383-5258
Fax: (805) 614-5901

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The CLIA number assigned to this NPI record is 05D2060636 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/19/2013 and was last updated on 11/18/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

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