PHOENIX MEDICAL GROUP, INC. (NPI# 1255763058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255763058 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL GROUP, INC. |
| Practice Address |
4355 E Airport Dr Suite 100 Ontario CA 91761-7812 |
| Mailing Address |
3576 Arlington Ave Suite 100 Riverside CA 92506-3943 |
| Practice Telephone | 9099373400 |
| Practice Fax Number | 9099373411 |
| Mailing Telephone | 9516876600 |
| Mailing Fax Number | 9516876601 |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |
| Authorized Official Name | DR. BRENT PRATLEY (ORTHOPEDIC) |
| Authorized Official Telephone | 9516876600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427490903 | Phoenix Medical Group, Inc. | Acupuncturist | 353 E 1st St, Calexico, CA 92231-2731 | 2013-07-24 |
| 1649612128 | Phoenix Medical Group, Inc. | Acupuncturist | 7851 Mission Center Ct, Suite 205, San Diego, CA 92108-1325 | 2013-07-24 |
| 1811339385 | Phoenix Medical Group, Inc. | Acupuncturist | 3576 Arlington Ave, Suite 100, Riverside, CA 92506-3943 | 2013-07-24 |
| Street Address |
4355 E AIRPORT DR SUITE 100 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669747150 | Phoenix Medical Group Inc | Chiropractor | 4355 E Airport Dr, Suite 100, Ontario, CA 91761-7812 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235522 | Cedar Medical Group, Inc. | Chiropractor | 235 N Laurel Ave, Ontario, CA 91762-3500 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094809 | Total Health | Chiropractor | 14650 Aviation Blvd Ste 100, Hawthorne, CA 90250-6667 | 2018-12-06 |
| 1447786074 | Gail Penniman | Chiropractor | 2745 Porter St, Ste D, Soquel, CA 95073-2471 | 2017-05-02 |
| 1528506540 | Ian Fitz-gibbon | Chiropractor | 1800 N Broadway, Santa Ana, CA 92706-2656 | 2017-02-09 |
| 1932654761 | Capital Medical Group PC | Chiropractor | 7007 Washington Ave Ste 350, Whittier, CA 90602-3611 | 2016-08-22 |
| 1871941757 | Alan Pires | Chiropractor | 1676 Gaywood Dr, Altadena, CA 91001-1852 | 2016-06-01 |
| 1184097990 | Kartch Chiropractic, PC | Chiropractor | 3661 Grand Ave Ste 101-103, Oakland, CA 94610-2025 | 2015-11-03 |
| 1881064061 | Jennifer Louise Martin | Chiropractor | 73741 Highway 111, Palm Desert, CA 92260-4016 | 2015-10-01 |
| 1154721900 | Western Orthopaedic Group PC | Chiropractor | 13120 Philadelphia St, Whittier, CA 90601-4301 | 2014-08-29 |
| 1780099259 | Nicholas Edward Cruze | Chiropractor | 1528 Union St, San Francisco, CA 94123-4505 | 2014-06-24 |
| 1760800288 | Renbarger Chiropractic,inc. | Chiropractor | 751 Blossom Hill Rd Ste A2, Los Gatos, CA 95032-3583 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
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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.