Individual provider Active NPI

Richard Ethan Ong

  • Family Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1215632641
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A197804 Issued in CA
Practice address
11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone
(909) 558-6688
NPI assigned
Apr 4, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A197804 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804

Mailing address

29826 Haun Rd Ste 314
Sun City, CA 92586-6546
Phone (951) 381-8150

Other practice location 1

29826 Haun Rd Ste 314
Sun City, CA 92586-6546
Phone (951) 381-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25405 Hancock Ave
Suite 105
Murrieta, CA 92562-5978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rolando a. Atiga, M.D., a Professional Corporation Family Medicine CurrentSince Jul 1, 2026 Accepting new patients

Locations

25405 Hancock Ave
Ste 105
Murrieta, CA 92562
Phone (951) 677-1323

29826 Haun Rd
Ste 314
Sun City, CA 92586
Phone (951) 381-8150

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1215632641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29826 HAUN RD STE 314",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925866546",
            "telephone_number": "951-381-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "GME OFFICE WESTERLY SUITE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-6688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "CA",
            "postal_code": "925866546",
            "country_code": "US",
            "telephone_number": "951-381-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "RICHARD",
        "middle_name": "ETHAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A197804",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.