Organization Active NPI

McKesson Medical Group, Inc

  • Orthopaedic Surgery Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1073164091
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MCKESSON MEDICAL GROUP, INC
Practice address
8282 White Oak Ave Ste 111
Rancho Cucamonga, CA 91730-7681
Phone
(909) 481-2606
NPI assigned
Sep 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Ms. Jenny Angela Bernal
Title
Administrator
Phone
(909) 481-2606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

8282 White Oak Ave Ste 111
Rancho Cucamonga, CA 91730-7681

Mailing address

8282 White Oak Ave Ste 111
Rancho Cucamonga, CA 91730-7681
Phone (909) 481-2606

National Provider Directory

National Provider Directory

Locations

8282 White Oak Ave
Ste 111
Rancho Cucamonga, CA 91730
Phone (909) 481-2606

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1073164091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8282 WHITE OAK AVE STE 111",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307681",
            "telephone_number": "909-481-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8282 WHITE OAK AVE STE 111",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307681",
            "telephone_number": "909-481-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKESSON MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "BERNAL",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-481-2606",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "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 Sep 20, 2019; 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.