Active NPI
Philip Anthony Delgado, D.O.
- Family Medicine Physician
- Rancho Cucamonga, CA
National Provider Identifier
1235355942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A10319
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10319 | CA | MD | Family Medicine Physician |
| 10319 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New 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. | Past | Accepting new patients | |
| Javier R. Rios MD a Professional Corporation | Family Medicine | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a8a7b4a9-8001-4d41-bf60-417974db31cb/
- 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.
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1407252950
-
dba Lake Elsinore Clinica Medica Familiar
- Family Medicine Physician
- Lake Elsinore, CA
- NPI 1851625396
-
dba Chicago Clinica Medica Familiar
- Family Medicine Physician
- Riverside, CA
- NPI 1841023801
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- Physical Medicine & Rehabilitation Physician
- West Covina, CA
- NPI 1821290024
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1669741195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.