Active NPI
Crestova Groups Inc
- Urgent Care Clinic/Center
- Ontario, CA
National Provider Identifier
1093622797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CRESTOVA GROUPS INC
- Practice address
- 1221 N Vineyard Ave Apt 30
Ontario, CA 91764-2282 - Phone
- (253) 419-0948
- NPI assigned
- Aug 26, 2026
- 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
- Mr. No Name Given Ajit
- Title
- Owner
- Phone
- (253) 419-0948
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1221 N Vineyard Ave Apt 30
Ontario, CA 91764-2282
Mailing address
1221 N Vineyard Ave Apt 30
Ontario, CA 91764-2282
Phone (253) 419-0948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788220800000",
"number": "1093622797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 N VINEYARD AVE APT 30",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917642282",
"telephone_number": "253-419-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 N VINEYARD AVE APT 30",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917642282",
"telephone_number": "253-419-0948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTOVA GROUPS INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "AJIT",
"authorized_official_first_name": "NO NAME GIVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-419-0948",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.