CENTINELA VALLEY IPA MEDICAL GROUP
NPI 1164552378
Contractor in San Dimas, CA

Active since March 06, 2007
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773(909) 971-6717 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centinela Valley Ipa Medical Group NPPES

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

CENTINELA VALLEY IPA MEDICAL GROUP (NPI 1164552378) is a healthcare organization registered as a contractor in San Dimas, California and active in the NPI registry since March 2007. The organization lists Anitha Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1164552378
Entity TypeOrganization
Primary Taxonomy171W00000X
Legal Business NameCENTINELA VALLEY IPA MEDICAL GROUP
Location Address955 OVERLAND CT FL 2San Dimas, CA 91773-1718
Mailing AddressPo Box 4069Covina, CA 91723-0469 · (909) 971-6717
Organization SubpartNo
Authorized OfficialAnitha MitchellPresident · (310) 673-9499
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1164552378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in CA · 171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
955 OVERLAND CT FL 2, San Dimas, CA 91773

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

Other Providers at the Same Location NPPES 6

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

Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773
Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773
Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773
Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773
Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773
Contractor
955 OVERLAND CT FL 2
SAN DIMAS, CA 91773

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 Centinela Valley Ipa Medical Group's NPI number?

The NPI number for Centinela Valley Ipa Medical Group is 1164552378. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Centinela Valley Ipa Medical Group located?

Centinela Valley Ipa Medical Group is located at 955 Overland Ct Fl 2, San Dimas, CA 91773. The listed phone number is (909) 971-6717.

What is Centinela Valley Ipa Medical Group's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Centinela Valley Ipa Medical Group was last updated on August 22, 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.