FOOTHILL PRIMARY CARE INC. NPI 1720350259

NPI Information

  • NPI: 1720350259
  • Provider Name: FOOTHILL PRIMARY CARE, INC.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 05D0555415
  • Address: 931 BUENA VISTA ST STE 205
    DUARTE, CA
    ZIP 91010
  • Phone: (626) 358-1897

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NPI Details

FOOTHILL PRIMARY CARE, INC. is a general practice in Duarte, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FOOTHILL PRIMARY CARE, INC. NPI is 1720350259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

931 BUENA VISTA ST STE 205
DUARTE, CA
ZIP 91010-713
Phone: (626) 358-1897
Fax: (626) 301-0937

The provider's authorized official is Roy L. Saenz .
The authorized official title is President and has the following contact phone number (626) 358-1897.

The CLIA number assigned to this NPI record is 05D0555415 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2012 and was last updated on 2/21/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeG53517CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BG665AMEDICARE PINCALIFORNIA
2FT851ZMEDICARE PINCALIFORNIA
3A93232MEDICARE UPINCALIFORNIA

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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