Fontana Physicians Associates a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FONTANA PHYSICIANS ASSOCIATES A MEDICAL CORPORATION

Practice address

17695 Arrow Blvd
Fontana, CA 92335-4041

Phone

(909) 854-3790

Fax

(909) 854-3792

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Octavio Ruiz-Villalpando, M.D.NPI 1194832816

Title

Medical Director/ Owner

Phone

(909) 854-3790

Specialties & licenses 1

Addresses

Other names 1

• Fontana Clinica Medica Familiar Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

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

• Octavio Ruiz-Villalpando, MD

  • Family Medicine Physician
  • Perris, CA
  • NPI 1194832816
  Medicare reassignment NPD Authorized official
• Victor Ramirez, PHYSICIANS ASSISTANT

  • Physician Assistant
  • Fontana, CA
  • NPI 1851359327
  Medicare reassignment
• Amparo Fuentes

  • Community Health Worker
  • Fontana, CA
  • NPI 1689402901
  NPD (past)
• Maribel M Jimenez

  • Community Health Worker
  • Fontana, CA
  • NPI 1689407389
  NPD (past)
• Yolanda Patlan, N.P.

  • Perinatal Nurse Practitioner
  • Moreno Valley, CA
  • NPI 1861504557
  NPD (past)
• Kenneth H Susman, DPM

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
  • NPI 1891720645
  NPD (past)
• Johanna Verduzco, LVN

  • Licensed Practical Nurse
  • Fontana, CA
  • NPI 1790434363
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1174621585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-854-3790",
            "fax_number": "909-854-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17695 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354041",
            "telephone_number": "909-854-3790",
            "fax_number": "909-854-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANA PHYSICIANS ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "RUIZ-VILLALPANDO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "909-854-3790",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fontana Dental Clinic
• Fontana Family Acupuncture Inc.
• Fontana Healthcare, LLC
• Fontana Modern Dentistry, Inc
• Fontana Optometric Group, Inc.
• Fontana Treatment Center
• Fontana Unified School District
• Fontana Unified School District
• Fontana Unified School District
• Foothill Family Medical Clinic Inc

• Family Medicine Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.