NORMA BACHOURA
NPI 1336302843
Non-Pharmacy Dispensing Site in San Dimas, CA

Active since July 03, 2008CLIA 05D1088406 · Waiver
150 W FOOTHILL BLVD, SAN DIMAS, CA 91773(909) 599-9925 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Norma Bachoura NPPES

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

NORMA BACHOURA (NPI 1336302843) is a healthcare organization registered as a non-pharmacy dispensing site in San Dimas, California and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 24, 2026 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1336302843
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNORMA BACHOURA MD INC
Location Address150 W FOOTHILL BLVDSan Dimas, CA 91773-1102
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx Inc
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateJuly 3, 2008
Last NPPES UpdateOctober 22, 2012
NPI 1336302843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in CA · G75576
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
150 W FOOTHILL BLVD, San Dimas, CA 91773

Other Names 1

Doing Business AsNorma Bachoura

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 05D1088406

Norma Bachoura, MD Inc · San Dimas, CA
Active · expires Aug 24, 2026
CLIA Number05D1088406
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2024
Certificate Expiration DateAugust 24, 2026
Laboratory DirectorNorma Bachoura MD
Laboratory Phone(909) 599-9925
Laboratory LocationNorma Bachoura, MD Inc150 W Foothill Blvd, San Dimas, CA 91773
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 11

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

Social Worker (Clinical)
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Internal Medicine
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Family Medicine
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Family Medicine
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Marriage & Family Therapist
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Marriage & Family Therapist
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773
Dentist (Pediatric Dentistry)
150 W FOOTHILL BLVD, SUITE E
SAN DIMAS, CA 91773
Physician Assistant (Medical)
150 W FOOTHILL BLVD
SAN DIMAS, CA 91773

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 Norma Bachoura MD Inc's NPI number?

The NPI number for Norma Bachoura MD Inc is 1336302843. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is doing business as Norma Bachoura.

Where is Norma Bachoura MD Inc located?

Norma Bachoura MD Inc is located at 150 W Foothill Blvd, San Dimas, CA 91773. The listed phone number is (909) 599-9925.

What is Norma Bachoura MD Inc's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Norma Bachoura MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1088406) is associated with this NPI, valid through August 24, 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 Norma Bachoura MD Inc was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.