JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA (NPI# 1568734267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568734267 |
| Entity Type | Organization |
| Organization Name | JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA |
| Other Organization Name | GOLDEN SHORE MEDICAL GROUP |
| Practice Address |
1151 E Walnut St Ontario CA 91761-6155 |
| Mailing Address |
625 Fair Oaks Ave Ste 270 South Pasadena CA 91030-5801 |
| Practice Telephone | 9094670797 |
| Practice Fax Number | 8777788097 |
| Mailing Telephone | 6263462455 |
| Mailing Fax Number | 6266393005 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | GLORIA CALDERON (VICE PRESIDENT, CLINIC OPERATIONS) |
| Authorized Official Telephone | 6263462455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | CA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | APPROVED EFF:1/31/12 | 01 |
| CA | RAILROAD MEDICARE | DU4034-EFF. 3/10/12 | 01 |
| CA | APPROVED EFF:1/31/12 | 05 |
| Other Name | Type Code |
|---|---|
| Golden Shore Medical Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558633255 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 790 E Foothill Blvd, Suite D, Rialto, CA 92376-5269 | 2012-01-27 |
| 1982976692 | Joseph M Molina Md Professional Corporation-southern California | Internal Medicine | 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 | 2012-01-27 |
| 1588935233 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 5549 Van Buren Blvd., Riverside, CA 92503-2068 | 2012-01-25 |
| 1124399860 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 24853 Alessandro Blvd., #4, Moreno Valley, CA 92553-6102 | 2012-01-25 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1801177944 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1714 Saint Michaels Dr, #1, Santa Fe, NM 87505-7617 | 2011-09-02 |
| 1508279779 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 7777 Sunrise Blvd, Suite 2500, Citrus Heights, CA 95610-2300 | 2014-06-05 |
| 1235542408 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3946 Norwood Ave, Sacramento, CA 95838-3300 | 2014-06-05 |
| 1417360686 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 6339 Mack Rd, Sacramento, CA 95823-4655 | 2014-06-05 |
| 1326451592 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 3234 Marysville Blvd, Sacramento, CA 95815-1411 | 2014-06-05 |
| Street Address |
1151 E WALNUT ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841229655 | Nawal Kamel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-02 |
| 1215494257 | Unicare Community Health Center Inc | Clinic/Center | 1151 E Walnut St, Ontario, CA 91761-6155 | 2019-02-26 |
| 1710478177 | Joseph M Molina Md Professional Corporation - Southern California | Obstetrics & Gynecology | 1151 E Walnut St, Ontario, CA 91761 | 2018-05-22 |
| 1972968188 | Patricia Wangsadipura | Nurse Practitioner | 1151 E Walnut St, Ontario, CA 91761-6155 | 2015-12-15 |
| 1295138659 | Joseph M Molina Md Professional Corporation Southern California | Non-Pharmacy Dispensing Site | 1151 E Walnut St, Ontario, CA 91761-6155 | 2014-09-30 |
| 1801054820 | Charmaine Yolanda Collins-cepeda | Physician Assistant | 1151 E Walnut St, Ontario, CA 91761-6155 | 2008-05-27 |
| 1659486991 | Molina Healthcare of California | Internal Medicine | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-08-19 |
| 1669403168 | Urmila M Patel | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2006-07-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1629603972 | Sau Thong | Family Medicine | 1109 W Francis St Apt D, Ontario, CA 91762-6188 | 2020-03-06 |
| 1023572401 | Julie Elizabeth Burkhart | Family Medicine | 715 Richland Mall Ste A, Ontario, OH 44906-3802 | 2019-01-30 |
| 1386149391 | Chase William Gulstrom | Family Medicine | 3430 E 4th St Unit 3041, Ontario, CA 91764-5066 | 2018-03-30 |
| 1326579525 | Rancho Physicians Choice A Medical Corporation | Family Medicine | 1871 E 4th St, Ontario, CA 91764-2601 | 2017-03-21 |
| 1619215373 | Norman Richard Loomis | Family Medicine | 7736 Tamarack Ln, Ontario, NY 14519-9536 | 2013-01-30 |
| 1578816120 | Sana Medical Clinic Inc | Family Medicine | 1435 S Grove Ave Ste 8, Ontario, CA 91761-4590 | 2012-10-19 |
| 1386919397 | Paul None Dest | Family Medicine | 1545 North Cypress Ave, Ontario, CA 91762-1215 | 2012-03-09 |
| 1750651485 | David Duc Diep | Family Medicine | 2295 S. Vineyard Ave, Medical Office Building A - Family Medicine, Ontario, CA 91761 | 2012-01-11 |
| 1447561162 | Ontario Family Medical Center Inc | Family Medicine | 3700 E. Inland Empire Blvd, Suite 250, Ontario, CA 91764-4906 | 2010-06-28 |
| 1306026091 | Vernon E Barton Md PC | Family Medicine | 915 Sw 3rd Ave, Ontario, OR 97914-2124 | 2007-11-09 |
| Find all providers in ONTARIO | ||||
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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.