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AVIDA HEALTH SYSTEMS INC
NPI 1265170765
Nurse Practitioner - Primary Care in Upland, CA

Active since May 24, 2022
222 N MOUNTAIN AVE STE 205, UPLAND, CA 91786(909) 333-7133(909) 236-7989 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avida Health Systems Inc NPPES

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

AVIDA HEALTH SYSTEMS INC (NPI 1265170765) is a healthcare organization registered as a primary care in Upland, California and active in the NPI registry since May 2022. The organization lists Juro Christ Enriquez Adefuin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265170765
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameAVIDA HEALTH SYSTEMS INC
Location Address222 N MOUNTAIN AVE STE 205Upland, CA 91786-5714
Mailing Address222 N Mountain Ave Ste 205Upland, CA 91786-5714 · (909) 333-7133 · Fax (909) 236-7989
Phone(909) 333-7133
Fax(909) 236-7989
Organization SubpartNo
Authorized OfficialJuro Christ Enriquez AdefuinCeo · (562) 552-7775
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1265170765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
222 N MOUNTAIN AVE STE 205, Upland, CA 91786
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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

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

PROMPT MEDICAL SERVICE INC
Family Medicine
222 N MOUNTAIN AVE STE 205
UPLAND, CA 91786
San Bernardino County (716) 301-2036

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 Avida Health Systems Inc's NPI number?

The NPI number for Avida Health Systems Inc is 1265170765. It was assigned to this organization in the NPPES registry on May 24, 2022.

Where is Avida Health Systems Inc located?

Avida Health Systems Inc is located at 222 N Mountain Ave Ste 205, Upland, CA 91786. The listed phone number is (909) 333-7133.

What is Avida Health Systems Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Avida Health Systems Inc was last updated on May 24, 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.