GREG ROBERT MADDEX (NPI# 1487794905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487794905 |
| Entity Type | Individual |
| Full Name | GREG ROBERT MADDEX |
| Credential | DO |
| Practice Address |
1111 S Grand Av Suite L Diamond Bar CA 91765 |
| Practice Telephone | 9098602605 |
| Practice Fax Number | 9098605461 |
| Mailing Telephone | 9098602605 |
| Mailing Fax Number | 9098605461 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A5522 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX55220 | 05 |
| Street Address |
1111 S GRAND AV SUITE L |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| 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 |
|---|---|---|---|---|
| 1669706453 | Pei-chi Wu | Family Medicine | 2020 S Brea Canyon Rd Ste A1, Diamond Bar, CA 91765-4012 | 2009-09-25 |
| 1114250925 | Yann Ping Pan | Family Medicine | 2605 Indian Creek Rd, Diamond Bar, CA 91765-3356 | 2009-09-10 |
| 1245476852 | Chihchun Kau | Family Medicine | 21427 Running River Ct, Diamond Bar, CA 91765-2754 | 2009-01-02 |
| 1629147319 | John Fonmin | Family Medicine | 2707 S Diamond Bar Blvd, #104, Diamond Bar, CA 91765 | 2006-11-07 |
| 1457365553 | Nayan R. Shah | Family Medicine | 324 S Diamond Bar Blvd, #306, Diamond Bar, CA 91765-1607 | 2006-07-27 |
| 1891719852 | David T Chen | Family Medicine | 2705 S Diamond Bar Blvd Ste 100, Diamond Bar, CA 91765-3557 | 2006-07-26 |
| 1942261045 | Peter Soler Yatar Jr. | Family Medicine | 23341 Golden Springs Dr Ste 202, Diamond Bar, CA 91765-2054 | 2006-03-29 |
| 1851350797 | Lubna Isho | Family Medicine | 750 N Diamond Bar Blvd, Diamond Bar, CA 91765-1023 | 2006-03-20 |
| 1306847116 | Roberta Nieto | Family Medicine | 1514 Valley Vista Dr, Diamond Bar, CA 91765-3929 | 2005-08-02 |
| 1376072207 | Serena Shen | Family Medicine | 1336 Bridgegate Dr, Diamond Bar, CA 91765-3955 | 2017-06-05 |
| Find all providers in DIAMOND BAR | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
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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.