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PREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC.
NPI 1689166241
Family Medicine - Adult Medicine in San Bernardino, CA

Active since May 30, 2018
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404(909) 883-1098 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Senior Medical Group Of San Bernardino, Inc. NPPES

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

PREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC. (NPI 1689166241) is a healthcare organization registered as an adult medicine in San Bernardino, California and active in the NPI registry since May 2018. The organization lists David Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1689166241
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePREMIER SENIOR MEDICAL GROUP OF SAN BERNARDINO, INC.
Location Address284 E HIGHLAND AVESan Bernardino, CA 92404-3706
Mailing Address31938 Temecula Pkwy Ste A237Temecula, CA 92592-6810 · (714) 414-3065
Phone(909) 883-1098
Organization SubpartNo
Authorized OfficialDavid JohnsonPresident · (207) 217-5451
Enumeration DateMay 30, 2018
✔ NPI 1689166241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
284 E HIGHLAND AVE, San Bernardino, CA 92404
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DANIEL E KIM PA-C
Physician Assistant
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-1098
RICHARD CAGUIN FNP-C
Nurse Practitioner (Family)
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-1098
APPLE URGENT CARE, INC
Clinic/Center (Urgent Care)
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-1098
MEDX-IMAGING SERVICES
Radiology (Diagnostic Radiology)
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 232-0056
PREMIER FAMILY MEDICAL GROUP
Family Medicine
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-1098
JUDY HSIEH PA-C
Physician Assistant (Medical)
284 E HIGHLAND AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 677-2188

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 Premier Senior Medical Group Of San Bernardino, Inc.'s NPI number?

The NPI number for Premier Senior Medical Group Of San Bernardino, Inc. is 1689166241. It was assigned to this organization in the NPPES registry on May 30, 2018.

Where is Premier Senior Medical Group Of San Bernardino, Inc. located?

Premier Senior Medical Group Of San Bernardino, Inc. is located at 284 E Highland Ave, San Bernardino, CA 92404. The listed phone number is (909) 883-1098.

What is Premier Senior Medical Group Of San Bernardino, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Premier Senior Medical Group Of San Bernardino, Inc. was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.