NPIMap

Organization Active NPI

Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1184199275
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOBILE PHYSICIANS MEDICAL ALLIED GROUP INC
Practice address
818 W Cameron Ave
West Covina, CA 91790-4136
Phone
(626) 338-7773
Fax
(866) 497-6338
NPI assigned
Oct 4, 2018
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Normita Sierra
Title
Ceo
Phone
(626) 757-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

818 W Cameron Ave
West Covina, CA 91790-4136

Mailing address

818 W Cameron Ave
West Covina, CA 91790-4136
Phone (626) 338-7773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190326000349 CA Part B Supplier - Clinic/Group Practice 7810233491 Receives reassigned benefits from 28 practitioners
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

1317 W West Covina Pkwy
Ste F
West Covina, CA 91790
Phone (626) 338-7773

1535 W Merced Ave
Ste 201
West Covina, CA 91790
Phone (626) 337-6246

Practitioners & affiliated clinicians

Practitioners 66

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1184199275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-338-7773",
            "fax_number": "866-497-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-338-7773",
            "fax_number": "866-497-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICIANS MEDICAL ALLIED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "NORMITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-757-8241"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.