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LASALLE MEDICAL ASSOCIATES
NPI 1275661084
Clinic/Center - Multi-Specialty in Fontana, CA

Active since March 01, 2007CLIA 05D0720990 · Waiver
17577 ARROW BLVD, FONTANA, CA 92335(909) 823-4454(909) 823-6918 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2020, Jan 17, 2020 (2 updates tracked since 2020).

About Lasalle Medical Associates NPPES

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

LASALLE MEDICAL ASSOCIATES (NPI 1275661084) is a healthcare organization registered as a multi-specialty in Fontana, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Albert H. Arteaga, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1275661084
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLASALLE MEDICAL ASSOCIATES
Location Address17577 ARROW BLVDFontana, CA 92335
Mailing Address1855 W Redlands Blvd Fl 2Redlands, CA 92373-3145 · (909) 890-0407 · Fax (909) 890-4597
Phone(909) 823-4454
Fax(909) 823-6918
Organization SubpartNo
Authorized OfficialAlbert H. ArteagaCeo/owner · (909) 890-0407
Enumeration DateMarch 1, 2007
Last NPPES UpdateJanuary 21, 20202 updates tracked since enumeration
✔ NPI 1275661084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
17577 ARROW BLVD, Fontana, CA 92335
Open in Google Maps ↗

Other Identifiers 2

MedicaidGR0079090CA
Other00A382060CA · Medi-cal Id Number

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 05D0720990

Lasalle Medical Associates · Fontana, CA
Active · expires Dec 13, 2027
CLIA Number05D0720990
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorCheryl A. Emoto, MD
Laboratory Phone(909) 823-4454
Laboratory LocationLasalle Medical Associates17577 Arrow Blvd, Fontana, CA 92335
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 10

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

DR. YASUHIRO NISHIURA M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
FTF PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
17577 ARROW BLVD, STE 101
FONTANA, CA 92335
San Bernardino County (909) 428-9842
DR. CYNTHIA CHENG M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
HENRIETTA ANNE GREEN PA-C
Physician Assistant (Medical)
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
AMANDA BLINKINSOP PA-C
Physician Assistant
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
SU MON THWE MD
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
DR. HALIMA TASNEEM SHAHABUDDIN M.D.
Pediatrics
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454
KIMBERLY DENNISE MADORSKY PA-C
Physician Assistant
17577 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 823-4454

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 Lasalle Medical Associates's NPI number?

The NPI number for Lasalle Medical Associates is 1275661084. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Lasalle Medical Associates located?

Lasalle Medical Associates is located at 17577 Arrow Blvd, Fontana, CA 92335. The listed phone number is (909) 823-4454.

What is Lasalle Medical Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Lasalle Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0720990) is associated with this NPI, valid through December 13, 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 Lasalle Medical Associates was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.