Arrowhead Pediatrics Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.

Practice address

400 N Pepper Ave
Colton, CA 92324

Phone

(909) 580-3380

Fax

(909) 580-6361

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Webster Andrew Wong, M.D.NPI 1891861217

Title

President

Phone

(909) 580-3380

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Arrowhead Pediatrics Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Arrowhead Pediatrics Medical Group, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Colton, CA
  • NPI 1013531003
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Arrowhead Pediatrics Medical Group, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Colton, CA
  • NPI 1013531003
  NPPES parent name

Practitioners 1

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

• Webster Andrew Wong, MD

  • Pediatrics Physician
  • Colton, CA
  • NPI 1891861217

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1093843005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE # 2MOB203",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241801",
            "telephone_number": "909-580-3380",
            "fax_number": "909-580-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PEPPER AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-580-3380",
            "fax_number": "909-580-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD PEDIATRICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WEBSTER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-580-3380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093843005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arrowhead CLHF
• Arrowhead Community Surgical Medical Group, Inc.
• Arrowhead Family Medical Group Inc
• Arrowhead Pathology Medical Group Incorporated
• Arrowhead Pediatrics Medical Group, Inc.
• Arrowhead Radiology Medical Group Inc
• Arrowhead Regional Medical Center
• Arrowhead Regional Medical Center
• Arrowhead Regional Medical Center
• Arrowhead Regional Medical Center

• All providers in Colton, CA
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.