Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premium Extremity Care, Inc

Organization Plastic Surgery Physician · NPI 1427786367

Premium Extremity Care, Inc is a Plastic Surgery Physician in Upland, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

843 E Foothill Blvd
Upland, CA 91786-4034
Phone: (909) 982-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1427786367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Heidari — Owner/Ceo · (909) 982-1002
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address843 E Foothill Blvd, Upland, CA 91786-4034

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