1. Home
  2. Directory
  3. California
  4. Upland
  5. Family Medicine
  6. NPI Profile

CLINICA MEDICA CENTRO HISPANO INC
NPI 1730360579
Family Medicine in Upland, CA

Active since November 20, 2007CLIA 05D1075715 · Waiver
360 E 7TH ST STE H, UPLAND, CA 91786(909) 985-8031(909) 985-8182 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clinica Medica Centro Hispano Inc NPPES

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

CLINICA MEDICA CENTRO HISPANO INC (NPI 1730360579) is a healthcare organization registered as a family medicine in Upland, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Miguel I Domingo, Director, as its authorized official.

NPPES Registry Identity

NPI1730360579
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA MEDICA CENTRO HISPANO INC
Location Address360 E 7TH ST STE HUpland, CA 91786-6701
Mailing Address360 E 7th St Ste HUpland, CA 91786-6701 · (909) 985-8031 · Fax (909) 985-8182
Phone(909) 985-8031
Fax(909) 985-8182
Organization SubpartNo
Authorized OfficialMiguel I DomingoDirector · (909) 467-1445
Enumeration DateNovember 20, 2007
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1730360579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A53766
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X · License A53766 (CA)
360 E 7TH ST STE H, Upland, CA 91786
Open in Google Maps ↗

Other Identifiers 2

OtherZZZ53072YCA · Blue Shield
Medicaid1730360579CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D1075715

Clinica Medica Centro Hispano · Upland, CA
Active · expires Oct 25, 2027
CLIA Number05D1075715
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorMiguel I. Domingo
Laboratory Phone(909) 985-8031
Laboratory LocationClinica Medica Centro Hispano360 E 7th St, Ste H, Upland, CA 91786
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 2

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

MS. MYUNGSOON KIM L.AC.
Acupuncturist
360 E 7TH ST STE H
UPLAND, CA 91786
San Bernardino County (909) 294-6198
MR. VICTOR MANUEL CAMPOS FNP
Nurse Practitioner
360 E 7TH ST STE H
UPLAND, CA 91786
San Bernardino County (909) 985-8031

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 Clinica Medica Centro Hispano Inc's NPI number?

The NPI number for Clinica Medica Centro Hispano Inc is 1730360579. It was assigned to this organization in the NPPES registry on November 20, 2007.

Where is Clinica Medica Centro Hispano Inc located?

Clinica Medica Centro Hispano Inc is located at 360 E 7th St Ste H, Upland, CA 91786. The listed phone number is (909) 985-8031.

What is Clinica Medica Centro Hispano Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Clinica Medica Centro Hispano Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1075715) is associated with this NPI, valid through October 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 Clinica Medica Centro Hispano Inc was last updated on September 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.