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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DIGNITY HEALTH MEDICAL FOUNDATION
NPI 1053653873
Clinic/Center - Multi-Specialty in San Bernardino, CA

Active since March 19, 2013CLIA Certified · 2 labs
401 E HIGHLAND AVE STE 251, SAN BERNARDINO, CA 92404(909) 882-4605(909) 475-2680 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 5, 2026, Nov 18, 2020 (2 updates tracked since 2020).

About Dignity Health Medical Foundation NPPES

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

DIGNITY HEALTH MEDICAL FOUNDATION (NPI 1053653873), doing business as Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea, is a healthcare organization registered as a multi-specialty in San Bernardino, California and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1053653873
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION
Location Address401 E HIGHLAND AVE STE 251San Bernardino, CA 92404-3800
Mailing AddressPo Box 743260Los Angeles, CA 90074-3260
Phone(909) 882-4605
Fax(909) 475-2680
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateMarch 19, 2013
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1053653873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
401 E HIGHLAND AVE STE 251, San Bernardino, CA 92404
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Other Names 1

Doing Business AsDignity Health Medical Group - Inland Empire, A Service Of Dignity Hea

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0911591

Dignity Health Medical Foundation · Roseville, CA
Active · expires Feb 8, 2028
CLIA Number05D0911591
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorNamrita Gogia
Laboratory Phone(916) 379-2726
Laboratory LocationDignity Health Medical Foundation2110 Professional Dr Ste 120, Roseville, CA 95661
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2060636

Dignity Health Medical Foundation · Highland, CA
Active · expires Jun 13, 2027
CLIA Number05D2060636
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorNadine Lyseight, MD
Laboratory Phone(805) 383-5258
Laboratory LocationDignity Health Medical Foundation4240 Highland Ave, Highland, CA 92346
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

DR. MICHIO KAJITANI MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
ROBERT D PARKINSON PA-C
Physician Assistant
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
NAHIDH W HASANIYA M.D.PHD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
DR. SAMEH R HANNA M.D.
Internal Medicine (Pulmonary Disease)
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 864-4700
WILLIAM MAXFIELD SCHLEGEL PA-C
Physician Assistant
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
GREGORY N MITCHELL PA-C
Physician Assistant
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
JULIO E WILLIAMS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605
DR. ANN REYNOLDS CONNOR MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
401 E HIGHLAND AVE STE 251
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-4605

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 Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1053653873. It was assigned to this organization in the NPPES registry on March 19, 2013. The provider is doing business as Dignity Health Medical Group - Inland Empire, a service of Dignity Hea.

Where is Dignity Health Medical Foundation located?

Dignity Health Medical Foundation is located at 401 E Highland Ave Ste 251, San Bernardino, CA 92404. The listed phone number is (909) 882-4605.

What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Dignity Health Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dignity Health Medical Foundation was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.