Active NPI
Edgar Ricardo Ramos Maldonado, MD
- Family Medicine Physician
- Yucaipa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A197843
- Practice address
- 33758 Yucaipa Blvd
Yucaipa, CA 92399-2243 - Phone
- (909) 795-9747
- NPI assigned
- Apr 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A197843 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Other practice location 1
1798 N Garey Ave
Pomona, CA 91767-2918
Phone (190) 986-5950
Other practice location 2
1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494
Other practice location 3
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
Hospital & facility affiliations
- Redlands Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A197843 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| Centers for Family Medicine GP | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Family Medicine | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- emadonaldo25289@epiclp.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1316463763
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1053055772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33758 YUCAIPA BLVD",
"city": "YUCAIPA",
"state": "CA",
"postal_code": "923992243",
"telephone_number": "909-795-9747"
}
],
"practiceLocations": [
{
"address_1": "1798 N Garey Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672918",
"country_code": "US",
"telephone_number": "190-986-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1770 N Orange Grove Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917673027",
"country_code": "US",
"telephone_number": "909-469-9494",
"fax_number": "909-469-2120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 W Fern Ave",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923735916",
"country_code": "US",
"telephone_number": "909-793-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMOS MALDONADO",
"first_name": "EDGAR",
"middle_name": "RICARDO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-27",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A197843",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yucaipa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.