Healthcare Provider Details

I. General information

NPI: 1255609483
Provider Name (Legal Business Name): ALFARO-MCFIELD MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 WESTERN AVE STE 305
SAN BERNARDINO CA
92411-1354
US

IV. Provider business mailing address

1800 WESTERN AVE STE 305
SAN BERNARDINO CA
92411-1354
US

V. Phone/Fax

Practice location:
  • Phone: 909-880-9993
  • Fax: 909-880-9998
Mailing address:
  • Phone: 909-880-9993
  • Fax: 909-880-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License NumberA100540
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA100540
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA100540
License Number StateCA

VIII. Authorized Official

Name: MRS. IRMA M ROMERO-ALFARO
Title or Position: OFFICE MANAGER
Credential:
Phone: 909-880-9993