JARCO MEDICAL GROUP LLC NPI 1770725939

NPI Information

  • NPI: 1770725939
  • Provider Name: JARCO MEDICAL GROUP, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 12030 LA CADENA DR
    GRAND TERRACE, CA
    ZIP 92313
  • Phone: (909) 222-4779

Map and Directions

Get Directions

NPI Details

JARCO MEDICAL GROUP, LLC is an ambulatory surgical clinic center in Grand Terrace, CA. JARCO MEDICAL GROUP, LLC NPI is 1770725939. The provider is registered as an organization entity type.

The provider's business location address is:

12030 LA CADENA DR
GRAND TERRACE, CA
ZIP 92313-613
Phone: (909) 222-4779
Fax: (909) 222-4779

The provider's authorized official is Jeconias Lopez Demiar .
The authorized official title is Manager and has the following contact phone number (909) 222-4779.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 5/19/2010.

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
1261QA1903XClinic/CenterAmbulatory SurgicalRN160039CALIFORNIAYes

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
1ZZZ23065ZMEDICARE PIN
2BU467AMEDICARE PINCALIFORNIA
3BU467BMEDICARE PINCALIFORNIA

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI