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EXORDIUM MEDICAL GROUP, INC
NPI 1215522941
Internal Medicine in Redlands, CA

Active since March 04, 2021CLIA 05D2221968 · Waiver
412 E STATE ST, REDLANDS, CA 92373(909) 908-4844 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Exordium Medical Group, Inc NPPES

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

EXORDIUM MEDICAL GROUP, INC (NPI 1215522941) is a healthcare organization registered as an internal medicine in Redlands, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Shan Singh Dhillon, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1215522941
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEXORDIUM MEDICAL GROUP, INC
Location Address412 E STATE STRedlands, CA 92373-5237
Mailing AddressPo Box 124Mentone, CA 92359-0124
Phone(909) 908-4844
Organization SubpartNo
Authorized OfficialShan Singh DhillonCo-owner · (909) 709-9149
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1215522941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
412 E STATE ST, Redlands, CA 92373
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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 SINGLE 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 05D2221968

Exordium Medical Group · Redlands, CA
Active · expires Apr 25, 2027
CLIA Number05D2221968
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorKristina L. Dhillon
Laboratory Phone(909) 709-9149
Laboratory LocationExordium Medical Group412 E State St, Redlands, CA 92373
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. SHAN SINGH DHILLON DO
Internal Medicine
412 E STATE ST
REDLANDS, CA 92373
San Bernardino County (900) 908-4844

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 Exordium Medical Group, Inc's NPI number?

The NPI number for Exordium Medical Group, Inc is 1215522941. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Exordium Medical Group, Inc located?

Exordium Medical Group, Inc is located at 412 E State St, Redlands, CA 92373. The listed phone number is (909) 908-4844.

What is Exordium Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Exordium Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2221968) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Exordium Medical Group, Inc was last updated on March 4, 2021. 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.