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JARCO MEDICAL GROUP, LLC
NPI 1770725939
Clinic/Center - Ambulatory Surgical in Grand Terrace, CA

Active since April 01, 2009
12030 LA CADENA DR, GRAND TERRACE, CA 92313(909) 222-4779(909) 222-4779 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jarco Medical Group, Llc NPPES

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

JARCO MEDICAL GROUP, LLC (NPI 1770725939) is a healthcare organization registered as an ambulatory surgical in Grand Terrace, California and active in the NPI registry since April 2009. The organization lists Jeconias Lopez Demiar, Manager, as its authorized official.

NPPES Registry Identity

NPI1770725939
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJARCO MEDICAL GROUP, LLC
Location Address12030 LA CADENA DRGrand Terrace, CA 92313-3613
Mailing AddressPo Box MLoma Linda, CA 92354-0556 · (909) 222-4779 · Fax (909) 222-4779
Phone(909) 222-4779
Fax(909) 222-4779
Organization SubpartNo
Authorized OfficialJeconias Lopez DemiarManager · (909) 222-4779
Enumeration DateApril 1, 2009
Last NPPES UpdateMay 19, 2010
✔ NPI 1770725939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · RN160039
12030 LA CADENA DR, Grand Terrace, CA 92313
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Other Identifiers 3

Medicare PINZZZ23065Z
Medicare PINBU467ACA
Medicare PINBU467BCA

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 Jarco Medical Group, LLC's NPI number?

The NPI number for Jarco Medical Group, LLC is 1770725939. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Jarco Medical Group, LLC located?

Jarco Medical Group, LLC is located at 12030 La Cadena Dr, Grand Terrace, CA 92313. The listed phone number is (909) 222-4779.

What is Jarco Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Jarco Medical Group, LLC was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.