BASELINE MEDICAL CLINIC
NPI 1891862553
Clinic/Center in San Bernardino, CA

Active since November 29, 2006CLIA 05D0700619 · Waiver
330 N D ST STE 300, SAN BERNARDINO, CA 92401(909) 888-6602(909) 885-7494 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baseline Medical Clinic NPPES

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

BASELINE MEDICAL CLINIC (NPI 1891862553) is a healthcare organization registered as a clinic/center in San Bernardino, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Hoang-chuong N Vu, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1891862553
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBASELINE MEDICAL CLINIC, INC
Location Address330 N D ST STE 300San Bernardino, CA 92401-1522
Mailing Address330 N D St Ste 300San Bernardino, CA 92401-1522 · (909) 888-6602 · Fax (909) 888-6619
Fax(909) 885-7494
Organization SubpartNo
Authorized OfficialHoang-chuong N VuMedical Director · (909) 888-6602
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 28, 2017
NPI 1891862553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CA · C27156
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

330 N D ST STE 300, San Bernardino, CA 92401

Other Names 1

Doing Business AsBaseline Medical Clinic

Other Identifiers 2

Medicare UPINZZZ06094ZCA
MedicaidGR0017240CA

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 05D0700619

Baseline Medical Clinic · San Bernardino, CA
Active · expires Aug 31, 2026
CLIA Number05D0700619
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHoang-Chuong N. Vu, MD.
Laboratory Phone(909) 888-6602
Laboratory LocationBaseline Medical Clinic330 N D St Ste 300, San Bernardino, CA 92401
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 3

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

Physician Assistant (Medical)
330 N D ST STE 300
SAN BERNARDINO, CA 92401
Family Medicine
330 N D ST STE 300
SAN BERNARDINO, CA 92401
Family Medicine
330 N D ST STE 300
SAN BERNARDINO, CA 92401

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 Baseline Medical Clinic, Inc's NPI number?

The NPI number for Baseline Medical Clinic, Inc is 1891862553. It was assigned to this organization in the NPPES registry on November 29, 2006. The provider is doing business as Baseline Medical Clinic.

Where is Baseline Medical Clinic, Inc located?

Baseline Medical Clinic, Inc is located at 330 N D St Ste 300, San Bernardino, CA 92401. The listed phone number is (909) 888-6602.

What is Baseline Medical Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Baseline Medical Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0700619) is associated with this NPI, valid through August 31, 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 Baseline Medical Clinic, Inc was last updated on November 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.