Rancho Industrial Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A37952 Issued in CA

Legal business name

RANCHO INDUSTRIAL MEDICAL GROUP, INC.

Practice address

14384 Slover Ave
Fontana, CA 92337-7122

Phone

(909) 350-7208

Fax

(909) 350-7209

NPI assigned

Mar 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eduardo E Anguizola, M.D.

Title

President

Phone

(909) 350-7208

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1204416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204416000000",
    "number": "1033389408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14384 SLOVER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377122",
            "telephone_number": "909-350-7208",
            "fax_number": "909-350-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14384 SLOVER AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377122",
            "telephone_number": "909-350-7208",
            "fax_number": "909-350-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO INDUSTRIAL MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-02",
        "last_updated": "2008-03-02",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-350-7208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "27592",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37952",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39074",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "18783",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "20771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ramirez
• Victor Ramirez, PHYSICIANS ASSISTANT
• Yvette Ramirez
• Raymond R. Ramos, MD
• Richard Ramos, PT
• Subhadra Rani
• Nyla J Raponi, PA
• Leah L Raquinio
• Nimah Rasheed, MD
• Zakiyyah Jameelah Rasheed, D.O.

• Specialist in Fontana, CA
• Providers in Fontana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2008; 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.