NAGASAMUDRA S ASHOK MD INC (NPI# 1851709406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851709406 |
Entity Type | Organization |
Organization Name | NAGASAMUDRA S ASHOK MD INC |
Practice Address |
1520 N Mountain Ave Bldg F Suite 128 Ontario CA 91762-1128 |
Practice Telephone | 9099499299 |
Practice Fax Number | 9099499029 |
Mailing Telephone | 9099499299 |
Mailing Fax Number | 9099499029 |
Enumeration Date | 2014-07-28 |
Last Update Date | 2015-10-27 |
Authorized Official Name | NAGASAMUDRA S. ASHOK (PRESIDENT) |
Authorized Official Telephone | 8185158804 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | NAGASAMUDRA S. ASHOK MD INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | CA | Allopathic & Osteopathic Physicians | |
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A415890 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477647386 | Nagasamudra S Ashok Md Inc | Clinic/Center | 229 W 7th St, San Jacinto, CA 92583-4662 | 2006-10-03 |
Street Address |
1520 N MOUNTAIN AVE BLDG F SUITE 128 |
City | ONTARIO |
State | CA |
Zip Code | 91762-1128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
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Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1649289851 | Physician's Primary Care Center, Inc. | Clinic/Center | 335 S.w. 13th St., Ontario, OR 97914 | 2006-08-05 |
1750787842 | Trinity Medical Clinic | Clinic/Center | 1749 S Euclid Ave, Suite A, Ontario, CA 91762-5832 | 2014-11-17 |
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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.