Ageless Health Group, a Professional Corp Nursing

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING

Doing business as

Ageless Health Group

Practice address

703 E E St
Ontario, CA 91764-3820

Phone

(909) 435-4707

NPI assigned

Nov 28, 2022

Last updated

Nov 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Yenitza Rodrigues, FNP-C

Title

Ceo

Phone

(909) 435-4707

Specialties & licenses 2

Addresses

Other names 1

• Ageless Health Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1033829478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E E ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643820",
            "telephone_number": "909-435-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E E ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917643820",
            "telephone_number": "909-435-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGELESS HEALTH GROUP, A PROFESSIONAL CORP NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "RODRIGUES",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "YENITZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-435-4707",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ageless Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Ontario, CA
• Providers in Ontario, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.