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GENESIS HEALTHCARE SYSTEM
NPI 1104150580
Clinic/Center - Ambulatory Surgical in Chino, CA

Active since October 01, 2009
11760 CENTRAL AVE STE 125, CHINO, CA 91710(909) 502-5588(909) 902-1013 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Healthcare System NPPES

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

GENESIS HEALTHCARE SYSTEM (NPI 1104150580) is a healthcare organization registered as an ambulatory surgical in Chino, California and active in the NPI registry since October 2009. The organization lists Connie Finch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104150580
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGENESIS HEALTHCARE SYSTEM
Location Address11760 CENTRAL AVE STE 125Chino, CA 91710-1909
Mailing Address11760 Central Ave Ste 125Chino, CA 91710-1909 · (909) 502-5588 · Fax (909) 902-1013
Phone(909) 502-5588
Fax(909) 902-1013
Organization SubpartNo
Authorized OfficialConnie FinchOffice Manager · (909) 902-5588
Enumeration DateOctober 1, 2009
Last NPPES UpdateOctober 30, 2009
✔ NPI 1104150580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed · 34087
11760 CENTRAL AVE STE 125, Chino, CA 91710
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Other Identifiers 1

Medicare PINZZZ04363ZCA

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 Genesis Healthcare System's NPI number?

The NPI number for Genesis Healthcare System is 1104150580. It was assigned to this organization in the NPPES registry on October 1, 2009.

Where is Genesis Healthcare System located?

Genesis Healthcare System is located at 11760 Central Ave Ste 125, Chino, CA 91710. The listed phone number is (909) 502-5588.

What is Genesis Healthcare System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Genesis Healthcare System was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.