Organization
PREMIER FAMILY MEDICINE ASSOCIATES, INC
Active
Parent organization
PREMIER FAMILY MEDICINE ASSOCIATES, INC
Other names
PVHC at Claremont
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER FAMILY MEDICINE ASSOCIATES, INC
Authorized official
TAMARA J WARNER (ADMIN COORDINATOR)
(909) 865-9501
Entity
Organization
Contact information
Practice address
1601 MONTE VISTA AVE STE 100, CLAREMONT, CA 91711-6601
(909) 630-7938
(909) 469-2118
Mailing address
1601 MONTE VISTA AVE STE 100, CLAREMONT, CA 91711-6601
(909) 630-7938
(909) 469-2118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
550000880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00320034
STATE OF CALIFORNIA CLP
CA
01
—
05D0881917
CLIA
—
05
—
1164668786
—
CA
01
—
550000880
DHS LICENSE
CA
05
—
GR0083730
—
CA
Enumeration date
01/02/2009
Last updated
02/25/2026
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