INNOVAGE HEALTH PARTNERS, INC. - NPI 1992170575 - Internal Medicine in San Bernardino, CA

Q: What is Innovage Health Partners, Inc.'s NPI number?

The NPI number for Innovage Health Partners, Inc. is 1992170575. It was assigned to this organization in the NPPES registry on December 8, 2015.

Q: What is Innovage Health Partners, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

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About Innovage Health Partners, Inc. NPPES

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

INNOVAGE HEALTH PARTNERS, INC. (NPI 1992170575) is a healthcare organization registered as a geriatric medicine in San Bernardino, California and active in the NPI registry since December 2015. The organization lists Vanessa D Walton, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1992170575

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameINNOVAGE HEALTH PARTNERS, INC.

Location Address410 E PARKCENTER CIR NSan Bernardino, CA 92408-2869

Mailing Address410 E Parkcenter Cir NSan Bernardino, CA 92408-2869 · (909) 890-2800 · Fax (909) 890-9615

Phone(909) 890-2800

Fax(909) 890-9615

Organization SubpartNo

Authorized OfficialVanessa D WaltonChief Legal Officer · (720) 974-2459

Enumeration DateDecember 8, 2015

✔ NPI 1992170575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · 53735

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

410 E PARKCENTER CIR N, San Bernardino, CA 92408

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

TOTAL LONGTERM CARE, INC

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization