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STATESIDE MEDICAL LLC
NPI 1952936312
Assisted Living Facility in Upland, CA

Active since March 05, 2020
359 W LANGSTON ST, UPLAND, CA 91786(714) 408-8996 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stateside Medical Llc NPPES

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

STATESIDE MEDICAL LLC (NPI 1952936312) is a healthcare organization registered as an assisted living facility in Upland, California and active in the NPI registry since March 2020. The organization lists Toby Miclat, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952936312
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSTATESIDE MEDICAL LLC
Location Address359 W LANGSTON STUpland, CA 91786-3128
Mailing Address1920 N Indian Hill BlvdClaremont, CA 91711-2721
Phone(714) 408-8996
Organization SubpartNo
Authorized OfficialToby MiclatAdministrator · (714) 408-8996
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1952936312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
359 W LANGSTON ST, Upland, CA 91786
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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 Stateside Medical LLC's NPI number?

The NPI number for Stateside Medical LLC is 1952936312. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Stateside Medical LLC located?

Stateside Medical LLC is located at 359 W Langston St, Upland, CA 91786. The listed phone number is (714) 408-8996.

What is Stateside Medical LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Stateside Medical LLC was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.