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FOOTHILL PRIMARY CARE, INC.
NPI 1720350259
General Practice in Duarte, CA

Active since January 30, 2012CLIA 05D0555415 · Waiver
931 BUENA VISTA ST STE 205, DUARTE, CA 91010(626) 358-1897(626) 301-0937 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Foothill Primary Care, Inc. NPPES

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

FOOTHILL PRIMARY CARE, INC. (NPI 1720350259) is a healthcare organization registered as a general practice in Duarte, California and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Roy L. Saenz, President, as its authorized official.

NPPES Registry Identity

NPI1720350259
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameFOOTHILL PRIMARY CARE, INC.
Location Address931 BUENA VISTA ST STE 205Duarte, CA 91010-1713
Mailing Address931 Buena Vista St Ste 205Duarte, CA 91010-1713 · (626) 358-1897 · Fax (626) 301-0937
Phone(626) 358-1897
Fax(626) 301-0937
Organization SubpartNo
Authorized OfficialRoy L. SaenzPresident · (626) 358-1897
Enumeration DateJanuary 30, 2012
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1720350259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G53517
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
931 BUENA VISTA ST STE 205, Duarte, CA 91010
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Other Identifiers 3

Medicare PINBG665ACA
Medicare PINFT851ZCA
Medicare UPINA93232CA

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

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 05D0555415

Foothill Primary Care, Inc · Duarte, CA
Active · expires Nov 9, 2026
CLIA Number05D0555415
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorRoy L. Saenz
Laboratory Phone(626) 358-1897
Laboratory LocationFoothill Primary Care, Inc931 Buena Vista Ste 205, Duarte, CA 91010
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

POLARIS INFUSION LLC
Clinic/Center (Infusion Therapy)
931 BUENA VISTA ST STE 205
DUARTE, CA 91010
Los Angeles County (813) 434-1495

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 Foothill Primary Care, Inc.'s NPI number?

The NPI number for Foothill Primary Care, Inc. is 1720350259. It was assigned to this organization in the NPPES registry on January 30, 2012.

Where is Foothill Primary Care, Inc. located?

Foothill Primary Care, Inc. is located at 931 Buena Vista St Ste 205, Duarte, CA 91010. The listed phone number is (626) 358-1897.

What is Foothill Primary Care, Inc.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Foothill Primary Care, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0555415) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Foothill Primary Care, Inc. was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.