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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 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dignity Health Medical Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,178

Medicare enrollment records show 1,178 clinicians reassign Medicare billing to Dignity Health Medical Foundation, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 62

Family Practice169
Hospitalist135
Nurse Practitioner126
Internal Medicine98
Diagnostic Radiology93
Obstetrics/Gynecology50
Pediatric Medicine43
General Surgery28
54 other specialties436

Nearest to this location (20)

See all 1,178
Julio Williams, MD
Cardiac Surgery
NPI 1588761001
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
(909) 882-4605
✔ PECOS✔ Accepts MedicareSame address
Sameh Hanna, M.D.
Pulmonary Disease
NPI 1326112913
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
(909) 864-4700
✔ PECOS✔ Accepts MedicareSame address
Mir Ali, MD
Thoracic Surgery
NPI 1831301647
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
(909) 882-4605
✔ PECOS✔ Accepts MedicareSame address
Iliya Goldberg, M.D.
General Surgery
NPI 1558715375
401 E HIGHLAND AVE STE 351
San Bernardino, CA 92404
(909) 475-8611
✔ PECOS✔ Accepts MedicareSame address
Michio Kajitani, MD
Thoracic Surgery
NPI 1194704387
401 E HIGHLAND AVE STE 251
San Bernardino, CA 92404
(909) 882-4605
✔ PECOS✔ Accepts MedicareSame address
Douglas Krahn, M.D.
General Surgery
NPI 1922029677
401 E HIGHLAND AVE STE 252
San Bernardino, CA 92404
(909) 475-8611
✔ PECOS✔ Accepts MedicareSame address
Emily Smeltzer, MD
Thoracic Surgery
NPI 1932423423
401 E HIGHLAND AVE
San Bernardino, CA 92404
(909) 882-4605
✔ PECOS✔ Accepts MedicareSame address
Christian Bianchi
Vascular Surgery
NPI 1225138688
11201 BENTON STREET
Loma Linda, CA 92357
(909) 583-6064
✔ PECOS✔ Accepts Medicare6.1 mi
Henrik Ghantarchyan, MD
Internal Medicine
NPI 1699359521
400 N PEPPER AVE
Colton, CA 92324
(909) 580-1000
✔ PECOS✔ Accepts Medicare6.2 mi
Adam Burton, DO
Physical Medicine and Rehabilitation
NPI 1417480708
5885 BROCKTON AVE
Riverside, CA 92506
(800) 270-5016
✔ PECOS✔ Accepts Medicare14 mi
Jason Chiriano, D.O.
Vascular Surgery
NPI 1457569519
15030 7TH ST
Victorville, CA 92395
(609) 510-0657
✔ PECOS✔ Accepts Medicare27 mi
Martin Marino, NP
Nurse Practitioner
NPI 1720302862
101 THE CITY DR S
Orange, CA 92868
(714) 456-7890
✔ PECOS✔ Accepts Medicare42 mi
David Martin, MD
General Surgery
NPI 1720037807
955 S ARROYO PKWY 3RD FLOOR
Pasadena, CA 91105
(626) 644-3283
✔ PECOS✔ Accepts Medicare50 mi
Bayani Evangelista, M.D.
Diagnostic Radiology
NPI 1083664262
39000 BOB HOPE DR EISENHOWER IMAGING CENTER
Rancho Mirage, CA 92270
(760) 340-3911
✔ PECOS✔ Accepts Medicare56 mi
Alex Kelemework, M.D.
Hospitalist
NPI 1245473651
39000 BOB HOPE DR
Rancho Mirage, CA 92270
(760) 837-8905
✔ PECOS✔ Accepts Medicare56 mi
John Stevenson, M.D.
Radiation Oncology
NPI 1306865050
39000 BOB HOPE DR LUCY CURCI CANCER CENTER
Rancho Mirage, CA 92270
(760) 674-3600
✔ PECOS✔ Accepts Medicare56 mi
Sydnie Vo
Family Practice
NPI 1588291553
2601 W ALAMEDA AVE STE 416
Burbank, CA 91505
(818) 843-9020
✔ PECOS✔ Accepts Medicare60 mi
Tim Lekic, M.D., PH.D.
Neurology
NPI 1578855151
46100 WASHINGTON ST
La Quinta, CA 92253
(760) 340-0528
✔ PECOS✔ Accepts Medicare63 mi
Alex Nee, MD
Critical Care (Intensivists)
NPI 1104928209
300 MEDICAL PLZ SUITE B200
Los Angeles, CA 90095
(310) 794-1195
✔ PECOS✔ Accepts Medicare67 mi
Neda Ballon Reyes, MD
Obstetrics/Gynecology
NPI 1780767814
18406 ROSCOE BLVD STE A
Northridge, CA 91325
(818) 700-5678
✔ PECOS✔ Accepts Medicare72 mi
See all 1,178 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Dignity Health Medical Foundation enrolled in Medicare?

Yes. Dignity Health Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dignity Health Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,178 clinicians in 62 Medicare specialties reassign their Medicare billing to Dignity Health Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (169), Hospitalist (135) and Nurse Practitioner (126). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 29 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.