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FOOTHILL FAMILY MEDICAL CLINIC INC
NPI 1336324847
General Practice in Fontana, CA

Active since January 03, 2008CLIA 05D0865894 · Waiver
13677 FOOTHILL BLVD, Q, FONTANA, CA 92335(909) 899-7800(909) 899-3163 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Foothill Family Medical Clinic Inc NPPES

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

FOOTHILL FAMILY MEDICAL CLINIC INC (NPI 1336324847) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Muhammad Yaqub, President, as its authorized official.

NPPES Registry Identity

NPI1336324847
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFOOTHILL FAMILY MEDICAL CLINIC INC
Location Address13677 FOOTHILL BLVD, QFontana, CA 92335-0505
Mailing Address13677 Foothill Blvd, QFontana, CA 92335-0505 · (909) 899-7800 · Fax (909) 899-3163
Phone(909) 899-7800
Fax(909) 899-3163
Organization SubpartNo
Authorized OfficialMuhammad YaqubPresident · (909) 899-7800
Enumeration DateJanuary 3, 2008
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1336324847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 00A45127
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

13677 FOOTHILL BLVD, Fontana, CA 92335
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A451271CA

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 MULTIPLE 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 05D0865894

Foothill Family Medical Clinic · Fontana, CA
Active · expires Aug 31, 2026
CLIA Number05D0865894
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMuhammad Yaqub
Laboratory Phone(909) 899-7800
Laboratory LocationFoothill Family Medical Clinic13677 Foothill Blvd Suite Q, 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 3

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

FONTANA CHIROPRACTIC AND ACUPUNCTURE
Chiropractor
13677 FOOTHILL BLVD, STE P
FONTANA, CA 92335
San Bernardino County (909) 766-5397
DR. MARISSA PALMER D.C.
Chiropractor
13677 FOOTHILL BLVD, STE P
FONTANA, CA 92335
San Bernardino County (909) 766-5397
KUNJAL PATEL DENTAL CORP
Dentist
13677 FOOTHILL BLVD, SUITE #L
FONTANA, CA 92335
San Bernardino County (909) 899-8040

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 Foothill Family Medical Clinic Inc's NPI number?

The NPI number for Foothill Family Medical Clinic Inc is 1336324847. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Foothill Family Medical Clinic Inc located?

Foothill Family Medical Clinic Inc is located at 13677 Foothill Blvd Q, Fontana, CA 92335. The listed phone number is (909) 899-7800.

What is Foothill Family Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Foothill Family Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0865894) 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 Foothill Family Medical Clinic Inc was last updated on November 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.