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METROPOLITAN FAMILY MEDICAL CLINIC
NPI 1184674830
Nurse Practitioner - Family in San Bernardino, CA

Active since May 11, 2006CLIA 05D0860655 · Waiver
1574 W BASE LINE ST, SAN BERNARDINO, CA 92411(909) 881-7320(909) 881-7330 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Metropolitan Family Medical Clinic NPPES

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

METROPOLITAN FAMILY MEDICAL CLINIC (NPI 1184674830) is a healthcare organization registered as a family in San Bernardino, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sandra Gonzalez, Coordinator, as its authorized official.

NPPES Registry Identity

NPI1184674830
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSAN MARCOS MEDICAL GROUP INC.
Location Address1574 W BASE LINE STSan Bernardino, CA 92411-1736
Mailing Address1574 W Base Line StSan Bernardino, CA 92411-1736 · (909) 881-7320 · Fax (909) 881-7330
Phone(909) 881-7320
Fax(909) 881-7330
Organization SubpartNo
Authorized OfficialSandra GonzalezCoordinator · (909) 376-4438
Enumeration DateMay 11, 2006
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1184674830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1574 W BASE LINE ST, San Bernardino, CA 92411
Open in Google Maps ↗

Other Names 1

Doing Business AsMetropolitan Family Medical Clinic

Other Identifiers 2

Medicaid1295384428CA
OtherCA482046CA · Medicare

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 05D0860655

San Marcos Medical Group D/B/A Metropolitan Family Medical Clinic Inc · San Bernardino, CA
Active · expires Aug 31, 2026
CLIA Number05D0860655
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBalbir Natt MD
Laboratory Phone(909) 881-7320
Laboratory LocationSan Marcos Medical Group D/B/A Metropolitan Family Medical Clinic Inc742 West Highland Avenue, San Bernardino, CA 92405
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DAMAYANTHI DURAIRAJ M.D.
General Practice
1574 W BASE LINE ST, SUITE 107
SAN BERNARDINO, CA 92411
San Bernardino County (909) 386-1880
JESUSA AQUINO M.D
Pediatrics
1574 W BASE LINE ST, SUITE 107
SAN BERNARDINO, CA 92411
San Bernardino County (909) 881-7320
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - BASE LINE SAN BERNARDINO
Clinic/Center (Community Health)
1574 W BASE LINE ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 386-1880
CLARITA LOUISE LUMSDEN NP
Nurse Practitioner (Obstetrics & Gynecology)
1574 W BASE LINE ST, #107
SAN BERNARDINO, CA 92411
San Bernardino County (909) 386-1880

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 San Marcos Medical Group Inc.'s NPI number?

The NPI number for San Marcos Medical Group Inc. is 1184674830. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is doing business as Metropolitan Family Medical Clinic.

Where is San Marcos Medical Group Inc. located?

San Marcos Medical Group Inc. is located at 1574 W Base Line St, San Bernardino, CA 92411. The listed phone number is (909) 881-7320.

What is San Marcos Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does San Marcos Medical Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0860655) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Marcos Medical Group Inc. was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.