Individual provider Active NPI

Philip Anthony Delgado, D.O.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1235355942
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10319 Issued in CA
Practice address
8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730
Phone
(909) 527-4909
Fax
(909) 360-0128
NPI assigned
Apr 18, 2007
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A10319 CA Primary

Addresses

Primary practice location

8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730

Mailing address

8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730-3140
Phone (909) 527-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000446 CA Practitioner - Osteopathic Manipulative Medicine 7911052170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Delgado Family MedicineGroup PAC ID 4981913118, 4 clinicians

Practice addresses (Care Compare)

8283 Grove Ave
Suite 202
Rancho Cucamonga, CA 91730-3140
Phone (909) 527-4909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10319CAMDFamily Medicine Physician
10319CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Hospital Medical Center Past Accepting new patients
West Point Medical Group, Inc Family Medicine Past Accepting new patients
Precision Occupational Medical Group, Inc. PastSince Oct 1, 2017 Accepting new patients
Javier R. Rios MD a Professional Corporation Family Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a8a7b4a9-8001-4d41-bf60-417974db31cb/
  • Direct secure messaging: philip.delgado.1@30398.direct.athenahealth.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1235355942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303140",
            "telephone_number": "909-527-4909",
            "fax_number": "909-360-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-527-4909",
            "fax_number": "909-360-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "PHILIP",
        "middle_name": "ANTHONY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.