JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA (NPI# 1710478177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710478177 |
| 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 |
| 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 | 2018-05-22 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | KAREN HENKENIUS (MANAGER) |
| Authorized Official Telephone | 6263461239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Golden Shore Medical Group | Doing Business As Name - Organization |
| Golden Shore Medical Obstetrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780005140 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 1409 S State St, Orem, UT 84097-7703 | 2014-01-02 |
| 1063842334 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 2196 West 3500 South, Suite C1, West Valley City, UT 84119-3463 | 2013-11-22 |
| 1093130080 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 2683 Pacific Ave, Long Beach, CA 90806-2610 | 2014-02-27 |
| 1518300912 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 14544 7th St, Victorville, CA 92395-4214 | 2013-04-16 |
| 1780937334 | Joseph M Molina Md Professional Corporation - Southern California | Pediatrics | 1181 N Mount Vernon Ave, Colton, CA 92324-2574 | 2012-10-19 |
| Street Address |
1151 E WALNUT ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761 |
| 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 |
| 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 |
| 1568734267 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 1151 E Walnut St, Ontario, CA 91761-6155 | 2012-01-27 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154414357 | Geeta Patel | Obstetrics & Gynecology | 750 N Archibald Ave Ste L, Ontario, CA 91764-4647 | 2006-10-02 |
| 1104895705 | James T Roth | Obstetrics & Gynecology | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2006-03-16 |
| 1447233341 | Furm M Duncan Jr. | Obstetrics & Gynecology | 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914-4516 | 2005-11-23 |
| 1639511819 | John David Hansill, M.d., PC | Obstetrics & Gynecology | 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914-4566 | 2013-07-29 |
| 1447487327 | Keith Roger Lutter | Obstetrics & Gynecology | 1219 Sw 4th Ave, Ste 2, Ontario, OR 97914 | 2009-06-17 |
| 1346404399 | Furm M Duncan Jr, M.d., P.C. | Obstetrics & Gynecology | 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914-4516 | 2008-07-17 |
| 1871757823 | Robert A Mairs Do PC | Obstetrics & Gynecology | 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914-4516 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSEPH M MOLINA MD PROFESSIONAL CORPORATION - SOUTHERN CALIFORNIA.
| 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.