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DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA
NPI 1053653873
Clinic/Center - Multi-Specialty in Highland, CA

Active since March 19, 2013CLIA Certified · 2 labs
4240 HIGHLAND AVE, SUITE B, HIGHLAND, CA 92346(805) 383-5258(805) 614-5901 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dignity Health Medical Group - Inland Empire, A Service Of Dignity Hea NPPES

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

DIGNITY HEALTH MEDICAL GROUP - INLAND EMPIRE, A SERVICE OF DIGNITY HEA (NPI 1053653873) is a healthcare organization registered as a multi-specialty in Highland, 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 Address4240 HIGHLAND AVE, SUITE BHighland, CA 92346-2764
Mailing AddressPo Box 743260Los Angeles, CA 90074-3260 · (916) 379-2726 · Fax (916) 853-7874
Phone(805) 383-5258
Fax(805) 614-5901
Organization SubpartYes
Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559
Enumeration DateMarch 19, 2013
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ 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
4240 HIGHLAND AVE, Highland, CA 92346
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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) 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: Address Name Phone
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) 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 Phone
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 3

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

DR. PETER EHREN STERBUTZEL DO
Obstetrics & Gynecology
4240 HIGHLAND AVE
HIGHLAND, CA 92346
San Bernardino County (909) 864-4700
ATALIE M LIM MD, MBBS
Pediatrics
4240 HIGHLAND AVE
HIGHLAND, CA 92346
San Bernardino County (909) 864-4700
GAYNELLE DE GUZMAN
Nurse Practitioner (Family)
4240 HIGHLAND AVE
HIGHLAND, CA 92346
San Bernardino County (909) 864-4700

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 4240 Highland Ave Suite B, Highland, CA 92346. The listed phone number is (805) 383-5258.

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 November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.