NEWBRIDGE HEALTHCARE, INC. – NPI #1427776202
Clinic/Center

NEWBRIDGE HEALTHCARE, INC. is an AHC clinic located in FONTANA, CA. NPPES has assigned the NPI number 1427776202 to NEWBRIDGE HEALTHCARE, INC. on August 18, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEWBRIDGE HEALTHCARE, INC. below.

NPI Profile for
NEWBRIDGE HEALTHCARE, INC.

NPI Number
1427776202
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEWBRIDGE HEALTHCARE, INC.
Primary location
9653 ALDER AVE
FONTANA, CA 92335
Phone: (909) 356-8235 Fax: (909) 356-8361
Mailing address
9653 ALDER AVE.
FONTANA, CA 92335
Phone: Fax:
Organization Subpart
No
Authorized Official
MARIO DIAZ-GOMEZ
MD/OWNER
Phone: (909) 356-8235
Updated
Certification Date
Aug 18, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.