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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AVITALITY MEDICAL PROFESSIONAL CORPORATION
NPI 1457269136
Family Medicine in Ontario, CA

Active since September 01, 2026
653 E E ST STE 109, ONTARIO, CA 91764(909) 395-9888 Get Directions Write a Review

NPPES record added: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 13, 2026, Sep 1, 2026 (2 updates tracked since 2026).

About Avitality Medical Professional Corporation NPPES

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

AVITALITY MEDICAL PROFESSIONAL CORPORATION (NPI 1457269136) is a healthcare organization registered as a family medicine in Ontario, California and active in the NPI registry since September 2026. The organization lists Lan Lam, Owner, as its authorized official.

NPPES Registry Identity

NPI1457269136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVITALITY MEDICAL PROFESSIONAL CORPORATION
Location Address653 E E ST STE 109Ontario, CA 91764-4257
Mailing Address653 E E St Ste 109Ontario, CA 91764-4257 · (909) 395-9888
Phone(909) 395-9888
Organization SubpartNo
Authorized OfficialLan LamOwner · (909) 395-9888
Enumeration DateSeptember 1, 2026
Last NPPES UpdateSeptember 13, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2026
✔ NPI 1457269136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
653 E E ST STE 109, Ontario, CA 91764
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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 3

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

MRS. LAN KIM LAM PA-C
Physician Assistant
653 E E ST STE 109
ONTARIO, CA 91764
San Bernardino County (909) 395-9888
MRS. CATLIN KIM HONG NGUYEN PA-C
Physician Assistant
653 E E ST STE 109
ONTARIO, CA 91764
San Bernardino County (909) 395-9888
LIFE CARE MEDICAL CENTER, INC.
General Practice
653 E E ST STE 109
ONTARIO, CA 91764
San Bernardino County (909) 395-9888

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 Avitality Medical Professional Corporation's NPI number?

The NPI number for Avitality Medical Professional Corporation is 1457269136. It was assigned to this organization in the NPPES registry on September 1, 2026.

Where is Avitality Medical Professional Corporation located?

Avitality Medical Professional Corporation is located at 653 E E St Ste 109, Ontario, CA 91764. The listed phone number is (909) 395-9888.

What is Avitality Medical Professional Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Avitality Medical Professional Corporation was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.