NPIMap

Organization Active NPI

Arther Medical Group

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1073602314
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63627 Issued in CA
Legal business name
ARTHER MEDICAL GROUP
Practice address
851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731
Phone
(909) 873-3876
Fax
(909) 873-3875
NPI assigned
Oct 12, 2006
Last updated
Mar 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Edna Sonia Arteaga-Hernandez, M.D.NPI 1114016433
Title
Medical Director
Phone
(909) 873-3876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63627 CA Primary
Pediatrics Physician 208000000X A50128 CA

Addresses

Primary practice location

851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731

Mailing address

851 W Foothill Blvd Ste 101
Rialto, CA 92376-4731
Phone (909) 873-3876

Other identifiers 2

IdentifierTypeStateIssuer
00A501280MedicaidCA
00A636270MedicaidCA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1073602314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W FOOTHILL BLVD STE 101",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764731",
            "telephone_number": "909-873-3876",
            "fax_number": "909-873-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W FOOTHILL BLVD STE 101",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764731",
            "telephone_number": "909-873-3876",
            "fax_number": "909-873-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "ARTEAGA-HERNANDEZ",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "SONIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-873-3876",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63627",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A50128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A636270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.