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KAISER
NPI 1043696479
Clinic/Center in Chino, CA

Active since August 07, 2015
11911 CENTRAL AVE, CHINO, CA 91710(909) 631-2440 Get Directions Write a Review

NPPES record last updated: August 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaiser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER (NPI 1043696479) is a healthcare organization registered as a clinic/center in Chino, California and active in the NPI registry since August 2015. The organization lists Matthew Patrick Diaz, Physician, as its authorized official.

NPPES Registry Identity

NPI1043696479
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKAISER
Location Address11911 CENTRAL AVEChino, CA 91710-1906
Mailing Address11911 Central AveChino, CA 91710-1906 · (909) 631-2440
Phone(909) 631-2440
Organization SubpartNo
Authorized OfficialMatthew Patrick DiazPhysician · (909) 631-2440
Enumeration DateAugust 7, 2015
✔ NPI 1043696479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 20A12957
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11911 CENTRAL AVE, Chino, CA 91710
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER J. HORAN MD
Pediatrics
11911 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 631-2442
SUSAN TSENG
Pharmacist
11911 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 631-2429
MS. NIVIA VIDES RNP
Nurse Practitioner (Women's Health)
11911 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 631-2435
DR. BENJAMIN HYUN PHARM. D.
Pharmacist
11911 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 631-2428
JEWWHEI SU
Pharmacist
11911 CENTRAL AVE
CHINO, CA 91710
San Bernardino County (909) 631-2429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser's NPI number?

The NPI number for Kaiser is 1043696479. It was assigned to this organization in the NPPES registry on August 7, 2015.

Where is Kaiser located?

Kaiser is located at 11911 Central Ave, Chino, CA 91710. The listed phone number is (909) 631-2440.

What is Kaiser's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kaiser was last updated on August 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.