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UPLAND VASCULAR CENTER LLC
NPI 1396467262
Internal Medicine - Nephrology in Upland, CA

Active since September 16, 2022CLIA 05D0564928 · Waiver
1317 W FOOTHILL BLVD STE 110, UPLAND, CA 91786(909) 982-4040(909) 982-4024 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Upland Vascular Center Llc NPPES

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

UPLAND VASCULAR CENTER LLC (NPI 1396467262) is a healthcare organization registered as a nephrology in Upland, California and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Phuong Bui, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1396467262
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameUPLAND VASCULAR CENTER LLC
Location Address1317 W FOOTHILL BLVD STE 110Upland, CA 91786-3675
Mailing Address1317 W Foothill Blvd Ste 110Upland, CA 91786-3675 · (909) 982-4040 · Fax (909) 982-4024
Phone(909) 982-4040
Fax(909) 982-4024
Organization SubpartYes
Authorized OfficialMary Phuong BuiAuthorized Official · (909) 982-4040
Enumeration DateSeptember 16, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1396467262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1317 W FOOTHILL BLVD STE 110, 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

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 05D0564928

Upland Vascular Center LLC · Upland, CA
Active · expires Aug 31, 2026
CLIA Number05D0564928
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMary Bui
Laboratory Phone(909) 982-4040
Laboratory LocationUpland Vascular Center LLC1317 W Foothill Blvd Ste 110, Upland, CA 91786
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.

UPLAND VASCULAR CENTER LLC
Clinic/Center (Ambulatory Surgical)
1317 W FOOTHILL BLVD STE 110
UPLAND, CA 91786
San Bernardino County (909) 982-4040

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 Upland Vascular Center LLC's NPI number?

The NPI number for Upland Vascular Center LLC is 1396467262. It was assigned to this organization in the NPPES registry on September 16, 2022.

Where is Upland Vascular Center LLC located?

Upland Vascular Center LLC is located at 1317 W Foothill Blvd Ste 110, Upland, CA 91786. The listed phone number is (909) 982-4040.

What is Upland Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Upland Vascular Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0564928) 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 Upland Vascular Center LLC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.