Individual provider Active NPI

William Craig Paley, D.O.

  • Family Medicine Physician
  • Ontario, CA
National Provider Identifier
1124105754
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4932 Issued in IL
Practice address
437 N Euclid Ave
Ontario, CA 91762-3456
Phone
(909) 988-2555
Fax
(909) 988-4447
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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 20A4932 IL Primary

Addresses

Primary practice location

437 N Euclid Ave
Ontario, CA 91762-3456

Mailing address

437 N Euclid Ave
Ontario, CA 91762-3456
Phone (909) 988-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326000661 CA Practitioner - Family Practice 9638061435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unicare Community Health Center, Inc.Group PAC ID 8426369067, 64 clinicians

Practice addresses (Care Compare)

570 S Mount Vernon Ave
Suite G
San Bernardino, CA 92410-2737
Phone (909) 884-6700

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A4932ILMDFamily Medicine Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Unicare Community Health Center Inc Current Accepting new patients
White Memorial Medical Center Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
Rancho Cucamonga Community Hospital, LLC Past Accepting new patients
Pacific Audiological Services Inc PastSince Dec 7, 2018 Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Harvey D. Cohen, M.D., Inc. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Unicare Community Health Center, Inc. Past Accepting new patients

Locations

2409 N Broadway
Los Angeles, CA 90031
Phone (213) 225-8038

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

570 S Mount Vernon Ave
Ste G
San Bernardino, CA 92410
Phone (909) 884-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bill@358b2299.micromddirect.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unicare Community Health Center, Inc.Colton, CA, CCN 751964 Federally qualified health center Corporate Director Mar 14, 2017
Unicare Community Health Center, Inc.Fontana, CA, CCN 751963 Federally qualified health center Corporate Director Mar 14, 2017
Unicare Community Health Center, Inc.Los Angeles, CA, CCN 921030 Federally qualified health center Corporate Director Dec 1, 2017
Unicare Community Health Center, Inc.Ontario, CA, CCN 921152 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 1, 2019
May 1, 2019
Unicare Community Health Center, Inc.Riverside, CA, CCN 921177 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 1, 2019
May 1, 2019

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1124105754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623456",
            "telephone_number": "909-988-2555",
            "fax_number": "909-988-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623456",
            "telephone_number": "909-988-2555",
            "fax_number": "909-988-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-02-27",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "20A4932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.