Organization Active NPI

Activcare Med Group Inc

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1053244178
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ACTIVCARE MED GROUP INC
Practice address
7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730-1156
Phone
(951) 344-5023
Fax
(951) 346-1281
NPI assigned
Jun 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Prode Pascual, MDNPI 1558454595
Title
Owner
Phone
(951) 344-5023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730-1156

Mailing address

7365 Carnelian St Ste 112
Rancho Cucamonga, CA 91730-1156
Phone (951) 344-5023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1053244178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "951-344-5023",
            "fax_number": "951-346-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 112",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "951-344-5023",
            "fax_number": "951-346-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVCARE MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "PRODE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-344-5023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.