YUCAIPA FAMILY MEDICAL GROUP, INC.
NPI 1972646784
Non-Pharmacy Dispensing Site in Yucaipa, CA

Q: What is Yucaipa Family Medical Group, Inc.'s NPI number?

The NPI number for Yucaipa Family Medical Group, Inc. is 1972646784. It was assigned to this organization in the NPPES registry on February 14, 2007.

Q: What is Yucaipa Family Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since February 14, 2007

34636 COUNTY LINE RD, #32, YUCAIPA, CA 92399(909) 795-4440 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Yucaipa Family Medical Group, Inc. NPPES

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

YUCAIPA FAMILY MEDICAL GROUP, INC. (NPI 1972646784) is a healthcare organization registered as a non-pharmacy dispensing site in Yucaipa, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1972646784

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameYUCAIPA FAMILY MEDICAL GROUP, INC.

Location Address34636 COUNTY LINE RD, #32Yucaipa, CA 92399-5393

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(909) 795-4440

Organization SubpartYesParent: Medvantx, Inc

Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990

Enumeration DateFebruary 14, 2007

Last NPPES UpdateOctober 17, 2012

✔ NPI 1972646784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · 20A6282

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

34636 COUNTY LINE RD, Yucaipa, CA 92399

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Other Providers at the Same Location NPPES

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

TERRACINA MEDICAL CLINIC INC

Family Medicine

34636 COUNTY LINE RD, SUITE 32
YUCAIPA, CA 92399

San Bernardino County (909) 795-9355

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 Yucaipa Family Medical Group, Inc.'s NPI number?

The NPI number for Yucaipa Family Medical Group, Inc. is 1972646784. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Yucaipa Family Medical Group, Inc. located?

Yucaipa Family Medical Group, Inc. is located at 34636 County Line Rd #32, Yucaipa, CA 92399. The listed phone number is (909) 795-4440.

What is Yucaipa Family Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Yucaipa Family Medical Group, Inc. was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.