BENDITO MEDICAL CORPORATION
NPI 1679100911
Clinic/Center - Primary Care in San Bernardino, CA
About Bendito Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENDITO MEDICAL CORPORATION (NPI 1679100911) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since March 2020. The organization lists Chioma Kalu, Md/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bendito Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bendito Medical Corporation, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bendito Medical Corporation's NPI number?
The NPI number for Bendito Medical Corporation is 1679100911. It was assigned to this organization in the NPPES registry on March 26, 2020.
Where is Bendito Medical Corporation located?
Bendito Medical Corporation is located at 1780 E Highland Ave, San Bernardino, CA 92404. The listed phone number is (909) 402-4601.
What is Bendito Medical Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Bendito Medical Corporation enrolled in Medicare?
Yes. Bendito Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bendito Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bendito Medical Corporation, in Family Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bendito Medical Corporation was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bendito Medical Corporation · NPI 1679100911
Primary Care organization in San Bernardino, California. Organization record, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1679100911 (Entity type: Organization)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Chioma Kalu, MD/CEO
## Practice location
- **Address:** 1780 E HIGHLAND AVE, San Bernardino, CA 92404-4618
- **Phone:** (909) 402-4601 · **Fax:** (909) 402-4609
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Pediatric Medicine (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679100911) · Data from the CMS NPPES public registry.