NEONATOLOGY MEDICAL GROUP INC (NPI# 1851404693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851404693 |
| Entity Type | Organization |
| Organization Name | NEONATOLOGY MEDICAL GROUP INC |
| Other Organization Name | FONTANA FAMILY MEDICAL CENTER |
| Practice Address |
17264 Foothill Blvd Ste A B Fontana CA 92335-9051 |
| Mailing Address |
Po Box 8188 Redlands CA 92375-1388 |
| Practice Telephone | 9094283900 |
| Practice Fax Number | 9094283903 |
| Mailing Telephone | 9097905071 |
| Mailing Fax Number | 9097905774 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MRS. GRACE ESCOBAL MURALIGOPAL (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9097905071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0004461 | 05 |
| Other Name | Type Code |
|---|---|
| Fontana Family Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932277183 | Neonatology Medical Group Inc | Pediatrics | 1786 North Riverside Ave, Suite 3, Rialto, CA 92376-2905 | 2006-12-04 |
| 1649383472 | Neonatology Medical Group Inc | Pediatrics | 33353 Yucaipa Blvd, Yucaipa, CA 92399-2018 | 2006-08-16 |
| 1821101650 | Neonatology Medical Group Inc | Pediatrics | 400 N Pepper Ave, Colton, CA 92324-1801 | 2006-08-16 |
| Street Address |
17264 FOOTHILL BLVD STE A B |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-9051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952351074 | Neonatology Medical Group, Inc. | Legal Medicine | 17264 Foothill Blvd, Fontana, CA 92335-9050 | 2006-05-11 |
| 1962810747 | Bich Lan Nguyen | Optometrist | 17264 Foothill Blvd, Suite E, Fontana, CA 92335-9050 | 2014-07-24 |
| 1366645616 | Neelu Kohli | Emergency Medicine | 17264 Foothill Blvd, Suite A, Fontana, CA 92335-9050 | 2007-06-06 |
| 1538172358 | Lilybeth Calingasan Sistoza | Internal Medicine | 17264 Foothill Blvd, Ste A B, Fontana, CA 92335-9051 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| 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 |
|---|---|---|---|---|
| 1396391454 | Veronica Janell Bolanos | Family Medicine | 7133 Windermere Dr, Fontana, CA 92336-0893 | 2019-08-14 |
| 1346766839 | Angela Adaku Chijioke | Family Medicine | 14181 Redondo Ct, Fontana, CA 92336-3614 | 2017-08-17 |
| 1992182745 | Mary Perry | Family Medicine | 17264 Foothill Blvd Ste A, Fontana, CA 92335 | 2015-04-30 |
| 1720475478 | Guillermo Saenz Zavala | Family Medicine | 17234 Valley Blvd, Fontana, CA 92335 | 2015-04-21 |
| 1932383148 | Inland Healthcare Group | Family Medicine | 17171 Foothill Blvd., Suite E, Fontana, CA 92335 | 2007-12-24 |
| 1235318445 | Inland Healthcare Group | Family Medicine | 7430 Cherry Ave Ste 110, Fontana, CA 92336-4255 | 2007-10-24 |
| 1568585024 | R S Bir Md Inc | Family Medicine | 9792 Sierra Ave, Fontana, CA 92335-6717 | 2007-04-09 |
| 1720123094 | Muhammad Yaqub | Family Medicine | 13677 Foothill Blvd, Suite Q, Fontana, CA 92335-0505 | 2007-02-21 |
| 1982786620 | Compre Hensive Primary Care Medical Associates, Inc | Family Medicine | 7798 Cherry Ave, Fontana, CA 92336-4014 | 2006-10-20 |
| 1215022918 | Californi Medical Clinic Inc | Family Medicine | 16701 Valley Blvd, Fontana, CA 92335-6696 | 2006-10-04 |
| Find all providers in FONTANA | ||||
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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.