CHINO MEDICAL GROUP, INC (NPI# 1790730786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790730786 |
| Entity Type | Organization |
| Organization Name | CHINO MEDICAL GROUP, INC |
| Other Organization Name | MY FAMILY MEDICAL GROUP |
| Practice Address |
5475 Walnut Ave Chino CA 91710-2609 |
| Practice Telephone | 9095916446 |
| Practice Fax Number | 9095911309 |
| Mailing Telephone | 9095916446 |
| Mailing Fax Number | 9095911309 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | DR. JOSE ALEX LIRA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9095916446 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0059290 | 05 |
| Other Name | Type Code |
|---|---|
| My Family Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053350884 | Chino Medical Group, Inc | Clinic/Center | 5475 Walnut Ave, Chino, CA 91710-2609 | 2006-06-06 |
| Street Address |
5475 WALNUT AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174914303 | Teresa Louie | Nurse Practitioner | 5475 Walnut Ave, Chino, CA 91710-2609 | 2015-02-10 |
| 1952730061 | Heather Michelle Sykes | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2013-11-08 |
| 1912217977 | Desiree Renee Bonomo | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2010-10-08 |
| 1649419482 | Andrew Alfred Harris | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2009-02-18 |
| 1689829327 | Miguel Angel Cervantes-lopez | Family Medicine | 5475 Walnut Ave, Chino, CA 91710-2609 | 2008-11-21 |
| 1679724231 | Prakob Sen Sok | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2008-10-01 |
| 1417003930 | Subash Chander | Family Medicine | 5475 Walnut Ave, Chino, CA 91710-2609 | 2007-01-26 |
| 1194753426 | Stephen Anthony Harvey | Physician Assistant | 5475 Walnut Ave, Chino, CA 91710-2609 | 2006-06-28 |
| 1821038985 | Jose Alejandro Lira | Internal Medicine | 5475 Walnut Ave, Chino, CA 91710-2609 | 2006-06-07 |
| 1053350884 | Chino Medical Group, Inc | Clinic/Center | 5475 Walnut Ave, Chino, CA 91710-2609 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| 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 |
|---|---|---|---|---|
| 1114530235 | All Home Mobile Services Inc. | Family Medicine | 14726 Ramona Ave Ste E4, Chino, CA 91710-5730 | 2020-08-28 |
| 1194282095 | Hospitalist Corporation of Inland Empire, Inc. | Family Medicine | 5385 Walnut Avenue Suite #3, Chino, CA 91710-2605 | 2019-02-27 |
| 1780942110 | Joseph Paul Krachenfels Jr. | Family Medicine | 13193 Central Ave Ste 100, Chino, CA 91710-4179 | 2012-04-23 |
| 1992945240 | Vasudha Kaushik | Family Medicine | 16250 Homecoming Dr, Unit 1260, Chino, CA 91708-9294 | 2009-02-26 |
| 1922203751 | John Henry Close | Family Medicine | 15180 Euclid Ave, Chino, CA 91710-9148 | 2007-06-20 |
| 1740303247 | R S Bir Md Inc | Family Medicine | 11692 Central Ave, Chino, CA 91710-1923 | 2007-04-09 |
| 1720120744 | Chino Valley Family Physicians A Medical Group | Family Medicine | 13193 Central Ave., Suite 100, Chino, CA 91710-3522 | 2007-02-13 |
| 1003856188 | Jeffrey Robert Unger | Family Medicine | 14726 Ramona Ave, #110, Chino, CA 91710-5730 | 2006-06-07 |
| 1518933266 | Anita Kundi | Family Medicine | 12598 #219 Central Ave, Chino, CA 91710 | 2006-02-23 |
| 1053394817 | Cynthia Diane Moreno | Family Medicine | 15361 Central Ave, Chino, CA 91710-7608 | 2005-11-25 |
| Find all providers in CHINO | ||||
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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.