Provider Type Icon

MOLINA HEALTHCARE OF CALIFORNIA NPI 1689788085


NPI Information

NPI: 1689788085
Provider Name: MOLINA HEALTHCARE OF CALIFORNIA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
17500 FOOTHILL BLVD STE A2
FONTANA, CA
ZIP 92335
Phone: (908) 428-0170
Get Directions

MOLINA HEALTHCARE OF CALIFORNIA 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. MOLINA HEALTHCARE OF CALIFORNIA NPI is 1689788085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17500 FOOTHILL BLVD STE A2
FONTANA, CA
ZIP 92335-798
Phone: (908) 428-0170
Fax: (877) 778-9312

The provider's authorized official is Matthew Schueren .
The authorized official title is V.p. Finance and has the following contact phone number (888) 562-5442.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 12/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
3207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR004265DMEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.