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ALAV MEDICAL CORPORATION
NPI 1104016468
Family Medicine in Fontana, CA

Active since August 01, 2007CLIA 05D1079199 · Waiver
16465 SIERRA LAKES PKWY, STE 220, FONTANA, CA 92336(909) 434-1123(909) 261-8082 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alav Medical Corporation NPPES

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

ALAV MEDICAL CORPORATION (NPI 1104016468) is a healthcare organization registered as a family medicine in Fontana, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Faramarz Alav, President, as its authorized official.

NPPES Registry Identity

NPI1104016468
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALAV MEDICAL CORPORATION
Location Address16465 SIERRA LAKES PKWY, STE 220Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 200Fontana, CA 92336-1242 · (909) 429-2404 · Fax (909) 261-8082
Phone(909) 434-1123
Fax(909) 261-8082
Organization SubpartNo
Authorized OfficialFaramarz AlavPresident · (909) 261-8082
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 30, 2018
✔ NPI 1104016468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A74033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16465 SIERRA LAKES PKWY, Fontana, CA 92336
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 of Waiver 05D1079199

Alav Medical Corporation · Fontana, CA
Active · expires Jan 27, 2028
CLIA Number05D1079199
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorFaramarz Alav MD
Laboratory Phone(909) 429-2404
Laboratory LocationAlav Medical Corporation16465 Sierra Lakes Pkwy Suite 200, Fontana, CA 92336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MOUNTAIN VIEW URGENT CARE GROUP, INC
Emergency Medicine
16465 SIERRA LAKES PKWY, SUITE 100
FONTANA, CA 92336
San Bernardino County (909) 434-1150
KATHRYN CHANG LIN MD
Pediatrics
16465 SIERRA LAKES PKWY, STE 245
FONTANA, CA 92336
San Bernardino County (909) 829-7337
DIANA M NAM MD
Pediatrics
16465 SIERRA LAKES PKWY, SUITE 250
FONTANA, CA 92336
San Bernardino County (909) 829-7337
TAMEEM HAZEM SABRY PA-C
Physician Assistant (Medical)
16465 SIERRA LAKES PKWY, STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
LAUREN KELLY CROSTIC PA-C
Physician Assistant
16465 SIERRA LAKES PKWY, 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
ASHAPURIMAA INC
Pharmacy (Community/Retail Pharmacy)
16465 SIERRA LAKES PKWY, STE 110
FONTANA, CA 92336
San Bernardino County (909) 574-9620
DR. MAGED FAYEZ IBRAHIM M.D.
Pediatrics
16465 SIERRA LAKES PKWY
FONTANA, CA 92336
San Bernardino County (909) 823-8000
LAUREN MATSUMOTO CPNP
Nurse Practitioner (Pediatrics)
16465 SIERRA LAKES PKWY
FONTANA, CA 92336
San Bernardino County (909) 823-8000

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 Alav Medical Corporation's NPI number?

The NPI number for Alav Medical Corporation is 1104016468. It was assigned to this organization in the NPPES registry on August 1, 2007.

Where is Alav Medical Corporation located?

Alav Medical Corporation is located at 16465 Sierra Lakes Pkwy Ste 220, Fontana, CA 92336. The listed phone number is (909) 434-1123.

What is Alav Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Alav Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1079199) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alav Medical Corporation was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.