OrganizationActive
Genesis Healthcare System
NPI 1104150580 · Ambulatory Surgical Clinic/Center · Chino, CA
Provider details
- NPI number
- 1104150580
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Connie Finch, Office Manager(909) 902-5588
- License
- 34087
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11760 Central Ave Ste 125
Chino, CA 91710-1909
Phone: (909) 502-5588
Fax: (909) 902-1013
Street-level locationGet directions
Mailing address
11760 Central Ave Ste 125
Chino, CA 91710-1909
Registry dates
- Enumerated
- 2009-10-01
- Last updated
- 2009-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.