OrganizationActive
Stateside Medical LLC
NPI 1952936312 · Assisted Living Facility · Upland, CA
Stateside Medical LLC is a Assisted Living Facility organization in Upland, CA (NPI 1952936312).
Provider details
- NPI number
- 1952936312
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Toby Miclat, Administrator(714) 408-8996
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
359 W Langston St
Upland, CA 91786-3128
Phone: (714) 408-8996
Street-level locationGet directions
Mailing address
1920 N Indian Hill Blvd
Claremont, CA 91711-2721
Registry dates
- Enumerated
- 2020-03-05
- Last updated
- 2020-03-05
- Certified
- 2020-03-05
Frequently asked questions
- What is Stateside Medical LLC's NPI number?
- Stateside Medical LLC's National Provider Identifier (NPI) is 1952936312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stateside Medical LLC?
- Stateside Medical LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Stateside Medical LLC located?
- Stateside Medical LLC's practice location on file with NPPES is 359 W Langston St, Upland, CA 91786-3128.
- What is Stateside Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Stateside Medical LLC is (714) 408-8996.
- Who is the authorized official for Stateside Medical LLC?
- The authorized official listed on Stateside Medical LLC's NPPES record is Toby Miclat, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stateside Medical LLC's NPI active?
- Yes — Stateside Medical LLC's NPI (1952936312) is active in the NPPES registry as of the last update on 2020-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.