CAJON MEDICAL GROUP PC (NPI# 1073169298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073169298 |
| Entity Type | Organization |
| Organization Name | CAJON MEDICAL GROUP PC |
| Practice Address |
12555 Central Ave Ste A Chino CA 91710-3569 |
| Mailing Address |
1809 W Redlands Blvd Redlands CA 92373-8054 |
| Practice Telephone | 9097352446 |
| Practice Fax Number | 9092061553 |
| Mailing Telephone | 9097352446 |
| Mailing Fax Number | 9092061553 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | SYAM P KUNAM (CEO) |
| Authorized Official Telephone | 9097352446 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cajon Medical Group PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887535 | Cajon Medical Group PC | Internal Medicine | 1800 Medical Center Dr Ste 300, San Bernardino, CA 92411-1241 | 2018-04-02 |
| 1730707951 | Cajon Medical Group PC | Internal Medicine | 4013 Brockton Ave, Riverside, CA 92501-3440 | 2020-07-14 |
| 1558915504 | Cajon Medical Group PC | Internal Medicine | 162 N Santa Fe St, Hemet, CA 92543-4451 | 2019-07-29 |
| 1841844891 | Cajon Medical Group PC | Internal Medicine | 23110 Atlantic Cir Ste F, Moreno Valley, CA 92553-5920 | 2019-07-29 |
| 1427619444 | Cajon Medical Group PC | Internal Medicine | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2019-06-21 |
| 1700382512 | Cajon Medical Group PC | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2018-04-02 |
| 1043716822 | Cajon Medical Group PC | Internal Medicine | 1080 N Indian Canyon Dr Ste 200, Palm Springs, CA 92262-4871 | 2018-04-02 |
| 1326547183 | Cajon Medical Group PC | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2018-02-07 |
| Street Address |
12555 CENTRAL AVE STE A |
| City | CHINO |
| State | CA |
| Zip Code | 91710-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821554866 | Chaparral Medical Group, Inc. | Internal Medicine | 5385 Walnut Ave # 3 & 4, Chino, CA 91710-2605 | 2019-02-14 |
| 1922163310 | Sean S To | Internal Medicine | 5562 Philadelphia St Ste 201, Chino, CA 91710-2482 | 2006-12-26 |
| 1316041718 | Ali M. Etemadian | Internal Medicine | 5343 Riverside Dr, Chino, CA 91710-4252 | 2006-09-07 |
| 1649295635 | Gerardo M General | Internal Medicine | 5385 Walnut Ave Ste 5, Chino, CA 91710-2605 | 2006-07-12 |
| 1780619502 | Xiao-ling Zhang | Internal Medicine | 13768 Roswell Ave Ste 118, Chino, CA 91710-1402 | 2006-07-11 |
| 1578596920 | Mao-jin Fu, A Medical Corporation | Internal Medicine | 5450 Jefferson Ave Ste 6, Chino, CA 91710-3522 | 2006-07-09 |
| 1235175936 | Jonathan Doo Sung Cho | Internal Medicine | 14901 Central Ave, Chino, CA 91710-9500 | 2006-06-21 |
| 1790730786 | Chino Medical Group, Inc | Internal Medicine | 5475 Walnut Ave, Chino, CA 91710-2609 | 2006-05-24 |
| 1831700970 | Doctors Medical Plaza Inc | Internal Medicine | 5343 Riverside Dr, Chino, CA 91710-4252 | 2020-08-12 |
| 1831708254 | Sean S. To, Md Inc | Internal Medicine | 5562 Philadelphia St Ste 201, Chino, CA 91710-2482 | 2020-07-31 |
| Find all providers in CHINO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.