Active NPI
MD Zuniga Inc.
Doing business as Edge Family Medicine
- Family Medicine Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MD ZUNIGA INC.
- Doing business as
- Edge Family Medicine
- Practice address
- 440 N Mountain Ave Ste 110
Upland, CA 91786-5183 - Phone
- (909) 870-5200
- Fax
- (909) 870-5188
- NPI assigned
- Mar 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Zuniga, M.D.
- Title
- Ceo
- Phone
- (909) 870-5200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
440 N Mountain Ave Ste 110
Upland, CA 91786-5183
Mailing address
440 N Mountain Ave Ste 110
Upland, CA 91786-5183
Phone (909) 870-5200
Other names 1
- Edge Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2288731 | MD Zuniga, Inc. Edge Family Medicine | Certificate of waiver | Aug 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
440 N Mountain Ave
Upland, CA 91786
Phone (909) 949-2881
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Upland, CA
- NPI 1578791588
-
- Family Medicine Physician
- Upland, CA
- NPI 1619105541
-
- Physician Assistant
- Upland, CA
- NPI 1710714779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1073262929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 N MOUNTAIN AVE STE 110",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865183",
"telephone_number": "909-870-5200",
"fax_number": "909-870-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N MOUNTAIN AVE STE 110",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865183",
"telephone_number": "909-870-5200",
"fax_number": "909-870-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD ZUNIGA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-19",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "ZUNIGA",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-870-5200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Edge Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Upland, CA
- Douglas G McKown, PSY.D.
- William B. McLeod, M.D.
- Paul T McMahon, PH.D.
- Mackenzie McNutt
- Theodora McQueen
- Medcare Plus Home Health Providers, Inc. (Blue Diamond Home Health Provider)
- Medical Center for Bone and Joint Disorders
- Medical Logistics
- Medical Logistics
- Medical Youth Fountain Incorporated (ABC Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.