SAN RAFAEL COMMUNITY MEDICAL CLINIC - NPI 1104043835

Q: What is Foothill Community Medical Corporation's specialty?

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

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About San Rafael Community Medical Clinic NPPES

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

SAN RAFAEL COMMUNITY MEDICAL CLINIC (NPI 1104043835) is a healthcare organization registered as a family medicine in Pomona, California and active in the NPI registry since April 2007. The organization lists Rafael Carcamo, President, as its authorized official.

NPPES Registry Identity

NPI1104043835

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFOOTHILL COMMUNITY MEDICAL CORPORATION

Location Address1126 W MISSION BLVDPomona, CA 91766-1342

Mailing Address1126 W Mission BlvdPomona, CA 91766-1342 · (909) 865-2538 · Fax (909) 865-2508

Phone(909) 865-2538

Fax(909) 865-2508

Organization SubpartNo

Authorized OfficialRafael CarcamoPresident · (909) 865-2538

Enumeration DateApril 20, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104043835 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 · 00A666750

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.

1126 W MISSION BLVD, Pomona, CA 91766

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Other Names 1

Doing Business AsSan Rafael Community Medical Clinic

Other Identifiers 1

MedicaidGR0090561CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Foothill Community Medical Corporation's NPI number?

The NPI number for Foothill Community Medical Corporation is 1104043835. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as San Rafael Community Medical Clinic.

Where is Foothill Community Medical Corporation located?

Foothill Community Medical Corporation is located at 1126 W Mission Blvd, Pomona, CA 91766. The listed phone number is (909) 865-2538.

What is Foothill Community Medical Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Foothill Community Medical Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.