Arrowhead Pediatrics Medical Group, Inc.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.

Practice address

400 N Pepper Ave
Colton, CA 92324-1801

Phone

(909) 580-3380

NPI assigned

Jun 4, 2020

Organization subpart

Yes

Parent organization

ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Webster Andrew Wong, MDNPI 1891861217

Title

President

Phone

(909) 580-3380

Specialties & licenses 1

Addresses

Tax ID family

Arrowhead Pediatrics Medical Group Inc2 organizations share this tax ID, including this one

Part of

Arrowhead Pediatrics Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arrowhead Pediatrics Medical Group, Inc.

  • Pediatrics Physician
  • Colton, CA
  • NPI 1093843005
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Arrowhead Pediatrics Medical Group, Inc.

  • Pediatrics Physician
  • Colton, CA
  • NPI 1093843005
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Webster Andrew Wong, MD

  • Pediatrics Physician
  • Colton, CA
  • NPI 1891861217
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1013531003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE # 2MOB203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WEBSTER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-580-3380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowhead Cardiology Medical Group
• Arrowhead CLHF
• Arrowhead Community Surgical Medical Group, Inc.
• Arrowhead Family Medical Group Inc
• Arrowhead Pathology Medical Group Incorporated
• Arrowhead Pediatrics Medical Group, Inc.
• Arrowhead Radiology Medical Group Inc
• Arrowhead Regional Medical Center
• Arrowhead Regional Medical Center
• Arrowhead Regional Medical Center

• All providers in Colton, CA
• Neonatal-Perinatal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.