FENIX HEALTH MEDICAL GROUP, INC. (NPI# 1487075578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487075578 |
| Entity Type | Organization |
| Organization Name | FENIX HEALTH MEDICAL GROUP, INC. |
| Practice Address |
716 East Mission Blvd. Pomona CA 91766 |
| Practice Telephone | 9098652332 |
| Practice Fax Number | 9098687129 |
| Mailing Telephone | 9098652332 |
| Mailing Fax Number | 9098687129 |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |
| Authorized Official Name | LUIS PEREZ (PRESIDENT) |
| Authorized Official Telephone | 9098652322 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G072538 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
716 EAST MISSION BLVD. |
| City | POMONA |
| State | CA |
| Zip Code | 91766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999494 | Justine Arce | Massage Therapist | 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 | 2020-10-15 |
| 1699287938 | Monika Stephanie Wan | Pharmacist | 710 Rio Rancho Road, Pomona, CA 91766 | 2017-10-26 |
| 1306386966 | Teresa Le | Dentist | 1898 Wright St, Pomona, CA 91766 | 2017-03-02 |
| 1770971715 | Hanzel Mendez | Physical Therapist | 1080 Verbena Court, Pomona, CA 91766 | 2014-12-29 |
| 1902223589 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3 Cottontail Dr, Pomona, CA 91766 | 2014-03-21 |
| 1134556012 | Imperial Hospice, Inc. | Hospice Care, Community Based | 363 S Park Ave Ste 105, Pomona, CA 91766 | 2013-10-08 |
| 1497196349 | Cohen Sedgh, Manavi & Pakravan Dental Corporation | Dentist | 763 Rio Rancho Road Suite120, Pomona, CA 91766 | 2013-07-08 |
| 1245573567 | Terry Chang | Acupuncturist | 3060 W. Temple Ave., Pomona, CA 91766 | 2013-04-04 |
| 1215271085 | Emmanuel Castro | Counselor | 4 Village Loop, Phillips Ranch, CA 91766 | 2012-11-19 |
| 1316296049 | Ideal Care and Health Services | Case Management | 4 Village Loop Road, Pomona, CA 91766 | 2012-09-10 |
| Find all providers in zip 91766 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902436827 | Vladimir Zev Zelenko Md PC. | Family Medicine | 1540 Route 202 Ste 7, Pomona, NY 10970-2922 | 2020-01-20 |
| 1720514185 | Irene Riley Sung | Family Medicine | 1770 N Orange Grove Ave Ste 201, Pomona, CA 91767-3027 | 2017-05-04 |
| 1205210531 | Emelia Oduro Jeffrey | Family Medicine | 1532 San Bernardino Ave Ste A2, Pomona, CA 91767-3559 | 2015-07-16 |
| 1689057960 | David Picella Phd Inc | Family Medicine | 1617 N Garey Ave, Pomona, CA 91767 | 2015-07-03 |
| 1699119511 | Danica Kari Lomeli | Family Medicine | 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 | 2013-04-22 |
| 1073814760 | Felix Lin | Family Medicine | 8 Village Loop Rd Ste D, Pmb 117, Pomona, CA 91766-4870 | 2010-11-11 |
| 1205017035 | Tuan Dai Le, M.d, A Professional Corporation | Family Medicine | 1151 E Holt Ave, Suite Q, Pomona, CA 91767-5813 | 2007-11-20 |
| 1023297934 | Katty Chou | Family Medicine | 3801 W Temple Ave Bldg 46, Pomona, CA 91768-2557 | 2007-10-26 |
| 1013114420 | Wilbert Timothy Tsai | Family Medicine | 1900 Royalty Dr Ste 250, Pomona, CA 91767-3043 | 2007-06-29 |
| 1104022581 | Erasto Gutierrez | Family Medicine | 1749 N Garey Ave Ste 101, Pomona, CA 91767-2913 | 2007-06-22 |
| Find all providers in POMONA | ||||
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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.