Foothill Pediatrics Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FOOTHILL PEDIATRICS MEDICAL GROUP, INC.

Practice address

12791 Cabezut Rd
Sonora, CA 95370-5926

Phone

(209) 532-5524

Fax

(209) 532-1513

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kelley W George, MD

Title

President

Phone

(209) 532-5524

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1215177787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 CABEZUT RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705926",
            "telephone_number": "209-532-5524",
            "fax_number": "209-532-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 CABEZUT RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705926",
            "telephone_number": "209-532-5524",
            "fax_number": "209-532-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL PEDIATRICS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-532-5524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Fitt, CRNA
• Douglas O Fleming, OD
• Emily Flosi, MSW
• Kathryn Lee Flud
• Foothill Chiropractic Corp
• Brenda Joan Forrest, M.D
• Claudia Forster, LMFT
• Michael C. Forster, MD
• Fortune Senior Enterprises
• Deanna Fossen, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.