TRINITY MEDICAL CLINIC
NPI 1750787842
Clinic/Center - Primary Care in Ontario, CA
About Trinity Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY MEDICAL CLINIC (NPI 1750787842) is a healthcare organization registered as a primary care in Ontario, California and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Jose Alvarez De La Llana, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 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)
Trinity Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Trinity Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D2098791
Trinity Medical Clinic · Ontario, CAFrequently 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 Jdcm Corporation's NPI number?
The NPI number for Jdcm Corporation is 1750787842. It was assigned to this organization in the NPPES registry on November 17, 2014. The provider is doing business as Trinity Medical Clinic.
Where is Jdcm Corporation located?
Jdcm Corporation is located at 1749 S Euclid Ave Suite A, Ontario, CA 91762. The listed phone number is (909) 972-0300.
What is Jdcm Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jdcm Corporation enrolled in Medicare?
Yes. Jdcm Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jdcm Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Jdcm Corporation. 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.
Does Jdcm Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2098791) is associated with this NPI, valid through July 13, 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 Jdcm Corporation was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Trinity Medical Clinic · NPI 1750787842
Primary Care organization in Ontario, California. Organization record, active in the CMS NPPES registry since November 17, 2014.
## Identity
- **NPI:** 1750787842 (Entity type: Organization)
- **Enumerated:** November 17, 2014
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Jdcm Corporation
- **Organization subpart:** No
- **Authorized official:** Jose De La Llana, PRESIDENT
## Practice location
- **Address:** 1749 S EUCLID AVE, SUITE A, Ontario, CA 91762-5832
- **Phone:** (909) 972-0300 · **Fax:** (909) 984-4878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750787842) · Data from the CMS NPPES public registry.