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JMK MEDICAL CLINIC
NPI 1174284509
Clinic/Center - Primary Care in San Bernardino, CA

Active since January 07, 2022
1050 KENDALL DR STE F, SAN BERNARDINO, CA 92407(909) 352-6655(909) 352-6770 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2022, Jan 7, 2022 (2 updates tracked since 2022).

About Jmk Medical Clinic NPPES

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

JMK MEDICAL CLINIC (NPI 1174284509) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since January 2022. The organization lists Nkoli Anigbogu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174284509
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJMK MEDICAL CLINIC
Location Address1050 KENDALL DR STE FSan Bernardino, CA 92407-4125
Mailing Address6855 Portofino CtRancho Cucamonga, CA 91701-8637 · (909) 352-6655 · Fax (909) 352-6770
Phone(909) 352-6655
Fax(909) 352-6770
Organization SubpartNo
Authorized OfficialNkoli AnigboguMedical Director · (909) 352-6655
Enumeration DateJanuary 7, 2022
Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1174284509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedPreventive Medicine · Clinical InformaticsTaxonomy 2083C0008X
1050 KENDALL DR STE F, San Bernardino, CA 92407
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MR. PRINCE OCANSEY FNP
Nurse Practitioner (Family)
1050 KENDALL DR STE F
SAN BERNARDINO, CA 92407
San Bernardino County (909) 352-6655
NKOLI ANIGBOGU MD
Hospitalist
1050 KENDALL DR STE F
SAN BERNARDINO, CA 92407
San Bernardino County (909) 352-6655
SOMRA NURSING CORPORATION
Nurse Practitioner (Psychiatric/Mental Health)
1050 KENDALL DR STE F
SAN BERNARDINO, CA 92407
San Bernardino County (909) 507-3947

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 Jmk Medical Clinic's NPI number?

The NPI number for Jmk Medical Clinic is 1174284509. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Jmk Medical Clinic located?

Jmk Medical Clinic is located at 1050 Kendall Dr Ste F, San Bernardino, CA 92407. The listed phone number is (909) 352-6655.

What is Jmk Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jmk Medical Clinic was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.