Kids Come First Community Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

240000826 Issued in CA

Legal business name

KIDS COME FIRST COMMUNITY CLINIC

Practice address

1556 S Sultana Ave
Ontario, CA 91761-4238

Phone

(909) 984-7384

Fax

(909) 982-7268

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Cynthia Prendiz

Title

Program Coordinator

Phone

(909) 984-7384

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1154547065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 S SULTANA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614238",
            "telephone_number": "909-984-7384",
            "fax_number": "909-984-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 S SULTANA AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614238",
            "telephone_number": "909-984-7384",
            "fax_number": "909-982-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS COME FIRST COMMUNITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "PRENDIZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "909-984-7384"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "240000826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70914G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehak Khattra
• KHT
• KHT
• Reena Khullar, DDS MS
• Arif Khwaja
• Madison B Kielar
• Naomi Kihugu
• Brianna Marie-Fawn Killion
• Anthony Kim, AC
• Dong Won Kim, M.D., PH.D.

• Pediatrics Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.