OrganizationActive
Centinela Valley Ipa Medical Group
NPI 1164552378 · Contractor · San Dimas, CA
Centinela Valley Ipa Medical Group is a Contractor organization in San Dimas, CA (NPI 1164552378).
Provider details
- NPI number
- 1164552378
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Anitha Mitchell, President(310) 673-9499
- License
- 171W00000X (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
955 Overland Ct Fl 2
San Dimas, CA 91773-1718
Phone: (909) 971-6717
Street-level locationGet directions
Mailing address
Po Box 4069
Covina, CA 91723-0469
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Centinela Valley Ipa Medical Group's NPI number?
- Centinela Valley Ipa Medical Group's National Provider Identifier (NPI) is 1164552378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centinela Valley Ipa Medical Group?
- Centinela Valley Ipa Medical Group is classified in the NPPES registry as Contractor (Other Service Providers).
- Where is Centinela Valley Ipa Medical Group located?
- Centinela Valley Ipa Medical Group's practice location on file with NPPES is 955 Overland Ct Fl 2, San Dimas, CA 91773-1718.
- What is Centinela Valley Ipa Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Centinela Valley Ipa Medical Group is (909) 971-6717.
- Who is the authorized official for Centinela Valley Ipa Medical Group?
- The authorized official listed on Centinela Valley Ipa Medical Group's NPPES record is Anitha Mitchell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centinela Valley Ipa Medical Group's NPI active?
- Yes — Centinela Valley Ipa Medical Group's NPI (1164552378) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.