Active NPI
Internal Medicine Medical Group
- Endocrinology, Diabetes & Metabolism Physician
- Fontana, CA
National Provider Identifier
1164625588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- INTERNAL MEDICINE MEDICAL GROUP
- Practice address
- 16465 Sierra Lakes Parkway
Internal Medicine Medical Group Suite
Fontana, CA 92336-1242 - Phone
- (909) 770-8640
- Fax
- (909) 770-8650
- NPI assigned
- Jun 6, 2007
- 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
- Mrs. Adrienne Marie Walker
- Title
- Contracts Manager
- Phone
- (909) 398-1550
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
16465 Sierra Lakes Parkway
Internal Medicine Medical Group Suite
Fontana, CA 92336-1242
Mailing address
840 Towne Center Drive
Internal Medicine Medical Group
Pomona, CA 91767-5900
Phone (909) 398-1550
National Provider Directory
National Provider Directory- Tax ID family
- Internal Medicine Medical Group
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1114120417
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1144423468
-
- Family Medicine Physician
- Pomona, CA
- NPI 1225231525
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1316140619
-
- Internal Medicine Physician
- Chino Hills, CA
- NPI 1679776090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164625588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DRIVE",
"address_2": "INTERNAL MEDICINE MEDICAL GROUP",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1550",
"fax_number": "909-398-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16465 SIERRA LAKES PARKWAY",
"address_2": "INTERNAL MEDICINE MEDICAL GROUP SUITE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361242",
"telephone_number": "909-770-8640",
"fax_number": "909-770-8650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CONTRACTS MANAGER",
"authorized_official_telephone_number": "909-398-1550",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
- Inland OB/GYN Associates, a Medical Corporation (Women's Health Center at St. Bernardine Medical Center)
- Inland Optometric Associates
- Inland Physical Therapy and Spine Center, PC
- Jerrelyn Javier Inocencio-Diaz, MD
- Integrated Family Enrichment Services
- Herman Ip, RPH
- Khosro Michael Iromloo, M.D.
- Isabel Correa DDS, Inc. (Comfort Dental Care)
- Vanessa Quynh Ishida, OD
- Christina H Isinhue, PHARM. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.