Healthcare Provider Details

I. General information

NPI: 1699545285
Provider Name (Legal Business Name): COMMUNITY ALLIANCE MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34675 YUCAIPA BLVD STE 102
YUCAIPA CA
92399-4155
US

IV. Provider business mailing address

PO BOX 427
REDLANDS CA
92373-0141
US

V. Phone/Fax

Practice location:
  • Phone: 909-850-2411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN STEINMANN
Title or Position: CEO/PRESIDENT
Credential: DO
Phone: 909-647-5277