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F JIMENEZ MEDICAL CORPORATION NPI 1447700034


NPI Information

NPI: 1447700034
Provider Name: F JIMENEZ MEDICAL CORPORATION

Doing Business As: UPLAND MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2080345

Address:
360 E 7TH ST STE D
UPLAND, CA
ZIP 91786
Phone: (909) 920-9193
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F JIMENEZ MEDICAL CORPORATION is a family medicine in Upland, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. F JIMENEZ MEDICAL CORPORATION NPI is 1447700034. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Upland Medical Center.

The provider's business location address is:

360 E 7TH ST STE D
UPLAND, CA
ZIP 91786-701
Phone: (909) 920-9193
Fax: (909) 920-6019

The provider's authorized official is Jimenez Francisco A .
The authorized official title is Physician and has the following contact phone number (714) 357-1944.

The CLIA number assigned to this NPI record is 05D2080345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2016 and was last updated on 10/7/2016.


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
1207Q00000XFamily MedicineA40305CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E50611MEDICARE UPINCALIFORNIA
200A403050MEDICAIDCALIFORNIA

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: 11/14/2023

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