LASALLE MEDICAL ASSOCIATES
NPI 1548398142
Clinic/Center - Multi-Specialty in San Bernardino, CA

Active since March 02, 2007CLIA 05D0575267 · Waiver
1505 W. 17TH STREET, SAN BERNARDINO, CA 92411(909) 887-6494(909) 887-6043 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lasalle Medical Associates NPPES

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

LASALLE MEDICAL ASSOCIATES (NPI 1548398142) is a healthcare organization registered as a multi-specialty in San Bernardino, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Albert H. Arteaga, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1548398142
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLASALLE MEDICAL ASSOCIATES
Location Address1505 W. 17TH STREETSan Bernardino, CA 92411
Mailing Address1855 W Redlands Blvd, 2nd FloorRedlands, CA 92373-3145 · (909) 890-0407 · Fax (909) 890-0575
Fax(909) 887-6043
Organization SubpartNo
Authorized OfficialAlbert H. ArteagaCeo/owner · (909) 890-0407
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 23, 2016
NPI 1548398142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1505 W. 17TH STREET, San Bernardino, CA 92411

Other Identifiers 2

MedicaidGR0079091CA
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 05D0575267

Lasalle Medical Associates 17th St · San Bernardino, CA
Active · expires Apr 25, 2027
CLIA Number05D0575267
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorCheryl A. Emoto
Laboratory Phone(909) 887-6494
Laboratory LocationLasalle Medical Associates 17th St1505 W 17th Street, San Bernardino, CA 92411
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.

Pediatrics
1505 W. 17TH STREET
SAN BERNARDINO, CA 92411
Physician Assistant
1505 W. 17TH STREET
SAN BERNARDINO, CA 92411
Pediatrics
1505 W. 17TH STREET
SAN BERNARDINO, CA 92411

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 1548398142. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Lasalle Medical Associates located?

Lasalle Medical Associates is located at 1505 W. 17th Street, San Bernardino, CA 92411. The listed phone number is (909) 887-6494.

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 05D0575267) is associated with this NPI, valid through April 25, 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 August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.