SAN MARCOS MEDICAL GROUP INC. NPI 1639129372

NPI Information

NPI: 1639129372
Provider Name: SAN MARCOS MEDICAL GROUP INC.

Doing Business As: METROPOLITAN FAMMILY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
7965 SIERRA AVE
FONTANA, CA
ZIP 92336
Phone: (909) 356-4459
Get Directions

SAN MARCOS MEDICAL GROUP INC. is a family medicine in Fontana, CA. The provider is 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. SAN MARCOS MEDICAL GROUP INC. NPI is 1639129372. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Metropolitan Fammily Medical Clinic.

The provider's business location address is:

7965 SIERRA AVE
FONTANA, CA
ZIP 92336-329
Phone: (909) 356-4459
Fax: (909) 355-4261

The provider's authorized official is Natt Balbir .
The authorized official title is Md/president and has the following contact phone number (951) 751-5470.

The CLIA number assigned to this NPI record is 05D0925726 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 10/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		GR0086722	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00A529660	MEDICAID	CALIFORNIA
2	00A784100	MEDICAID	CALIFORNIA
3	00A398050	MEDICAID	CALIFORNIA
4	00A450910	MEDICAID	CALIFORNIA
5	00A460220	MEDICAID	CALIFORNIA
6	GR0086722	MEDICAID	CALIFORNIA
7	00A764460	MEDICAID	CALIFORNIA
8	00AX91490	MEDICAID	CALIFORNIA
9	00A514170	MEDICAID	CALIFORNIA
10	00A431680	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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