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MILL MEDICAL CLINIC
NPI 1710074877
Clinic/Center - Primary Care in San Bernardino, CA

Active since October 09, 2006
1292 W MILL ST, SUITE 105, SAN BERNARDINO, CA 92410(909) 383-9440(909) 383-9443 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mill Medical Clinic NPPES

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

MILL MEDICAL CLINIC (NPI 1710074877) is a healthcare organization registered as a primary care in San Bernardino, California and active in the NPI registry since October 2006. The organization lists Paul C Kintanar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710074877
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMILL MEDICAL CLINIC INC
Location Address1292 W MILL ST, SUITE 105San Bernardino, CA 92410-2500
Mailing Address1292 W Mill St, Suite 105San Bernardino, CA 92410-2500 · (909) 253-0841 · Fax (909) 521-7154
Phone(909) 383-9440
Fax(909) 383-9443
Organization SubpartNo
Authorized OfficialPaul C KintanarOffice Manager · (909) 253-0841
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1710074877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A383760
1292 W MILL ST, San Bernardino, CA 92410
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Other Names 1

Doing Business AsMill Medical Clinic

Other Identifiers 5

MedicaidGR0078010CA
Medicare UPINA28602CA
Medicaid00A383761CA
Medicaid00A383760CA
Medicare ID-Type UnspecifiedZZZ03785ZCA · Medicare Group Id No.

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.

AGNES B KINTANAR M.D.
General Practice
1292 W MILL ST, SUITE 105
SAN BERNARDINO, CA 92410
San Bernardino County (909) 383-9440
ANDREW CALEB TOWNLEY FNP-C
Nurse Practitioner (Family)
1292 W MILL ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 253-0841
HAZEL CAPUTOL LEDESMA
Nurse Practitioner (Family)
1292 W MILL ST
SAN BERNARDINO, CA 92410
San Bernardino County (909) 253-0841

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 Mill Medical Clinic Inc's NPI number?

The NPI number for Mill Medical Clinic Inc is 1710074877. It was assigned to this organization in the NPPES registry on October 9, 2006. The provider is doing business as Mill Medical Clinic.

Where is Mill Medical Clinic Inc located?

Mill Medical Clinic Inc is located at 1292 W Mill St Suite 105, San Bernardino, CA 92410. The listed phone number is (909) 383-9440.

What is Mill Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mill Medical Clinic Inc was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.