Individual provider Active NPI

Edna Sonia Arteaga-Hernandez, M.D.

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1114016433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A63627 Issued in CA
Practice address
851 W Foothill Blvd
Rialto, CA 92376-4700
Phone
(909) 873-3876
Fax
(909) 873-3875
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A63627 CA Primary

Addresses

Primary practice location

851 W Foothill Blvd
Rialto, CA 92376-4700

Mailing address

851 W Foothill Blvd
Rialto, CA 92376-4700
Phone (909) 873-3876

Other identifiers 1

IdentifierTypeStateIssuer
00A636270MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arther Med Corp CurrentSince Jan 1, 1990 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114016433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764700",
            "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",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764700",
            "telephone_number": "909-873-3876",
            "fax_number": "909-873-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTEAGA-HERNANDEZ",
        "first_name": "EDNA",
        "middle_name": "SONIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "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 Jul 8, 2007; 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.