EVERSIDE HEALTH CHINO HILLS NPI 1407615438

NPI Information

  • NPI: 1407615438
  • Provider Name: EVERSIDE HEALTH CHINO HILLS
  • Classification: Preventive Medicine - 2083P0500X
  • Specialization: Preventive Medicine/Occupational Environmental Medicine
  • Entity Type: Organization
  • CLIA Number: 05D2305744
  • Address: 13768 ROSWELL AVE STE 222
    CHINO, CA
    ZIP 91710
  • Phone: (909) 781-6942

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NPI Details

EVERSIDE HEALTH CHINO HILLS is a preventive medicine/occupational environmental medicine preventive medicine in Chino, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. EVERSIDE HEALTH CHINO HILLS NPI is 1407615438. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13768 ROSWELL AVE STE 222
CHINO, CA
ZIP 91710-408
Phone: (909) 781-6942

The provider's authorized official is Karla Spivey .
The authorized official title is Implementation And Onboarding Coord and has the following contact phone number (317) 869-3164.

The CLIA number assigned to this NPI record is 05D2305744 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.

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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

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: 11/21/2025

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