CAJON MEDICAL GROUP PC (NPI# 1326547183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326547183 |
| Entity Type | Organization |
| Organization Name | CAJON MEDICAL GROUP PC |
| Practice Address |
1809 W Redlands Blvd Redlands CA 92373-8054 |
| Practice Telephone | 9097352446 |
| Mailing Telephone | 9515002121 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | SYAM P KUNAM (CEO) |
| Authorized Official Telephone | 9097352446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169298 | Cajon Medical Group PC | Internal Medicine | 12555 Central Ave Ste A, Chino, CA 91710-3569 | 2019-08-13 |
| 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 |
| Street Address |
1809 W REDLANDS BLVD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578525499 | Syam P Kunam | Psychiatry & Neurology | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2006-04-05 |
| 1144867409 | Marilyn Loretta Tidwell -shoemaker | Nurse Practitioner | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2019-12-05 |
| 1710544242 | Kelechi Ugonna Olukaikpe Ogom | Nurse Practitioner | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2019-05-21 |
| 1700382512 | Cajon Medical Group PC | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2018-04-02 |
| 1639696412 | Archis Desai Md, Inc. | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2017-08-23 |
| 1093185035 | Victoria Dubois | Social Worker | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2015-10-02 |
| 1396141230 | Archis Desai | Internal Medicine | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-11-04 |
| 1871994970 | Kristina Marie Mitchell | Marriage & Family Therapist | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-09-08 |
| 1780098772 | Vanessa Ramsdell | Counselor | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2014-06-17 |
| 1336493071 | Cornerstone Family Counseling and Behavioral Health Group, Inc | Psychologist | 1809 W Redlands Blvd, Redlands, CA 92373-8054 | 2012-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| 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 |
|---|---|---|---|---|
| 1932600335 | Faculty Physicians and Surgeons of Llusm | Internal Medicine | 1200 California St Ste 270, Redlands, CA 92374-2970 | 2018-02-22 |
| 1568917359 | Renaissance M.d. Inc. | Internal Medicine | 1652 Plum Ln Ste 103, Redlands, CA 92374-4594 | 2016-08-22 |
| 1265847214 | Giv Heidari Bateni | Internal Medicine | 2068 Orange Tree Ln Ste 215, Redlands, CA 92374-4555 | 2014-06-29 |
| 1427307826 | Stewart Wilson Shankel | Internal Medicine | 30250 San Timoteo Canyon, Redlands, CA 92373 | 2012-08-31 |
| 1518231356 | Victor Hugo Bassuk | Internal Medicine | 466 Orange St, Suite 262, Redlands, CA 92374-3240 | 2012-02-24 |
| 1346545043 | Mohamed Nassar | Internal Medicine | 255 Terracina Blvd Ste 105, Redlands, CA 92373-4870 | 2011-01-11 |
| 1245545326 | Sahil Chopra | Internal Medicine | 1364 Cornell Ave, Redlands, CA 92374-3700 | 2010-08-12 |
| 1043442809 | Eric Chin | Internal Medicine | 1895 Orange Tree Ln Ste 204, Redlands, CA 92374-0113 | 2009-08-12 |
| 1215170626 | Joseph Humenik | Internal Medicine | 530 S Center St, Redlands, CA 92373-5866 | 2009-04-15 |
| 1225206253 | Shazia Hyder | Internal Medicine | 1652 Plum Ln, Ste 103, Redlands, CA 92374-4594 | 2008-02-12 |
| Find all providers in REDLANDS | ||||
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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.