Organization Active NPI

Sandra K Force-Obrowski MD Inc.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1255525937
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G066813 Issued in CA
Legal business name
SANDRA K FORCE-OBROWSKI MD INC.
Practice address
7777 Milliken Ave Ste 350
Rancho Cucamonga, CA 91730-6782
Phone
(909) 484-9182
Fax
(909) 476-0050
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Teresa Tirado
Title
Office Manager
Phone
(909) 484-6623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G066813 CA Primary

Addresses

Primary practice location

7777 Milliken Ave Ste 350
Rancho Cucamonga, CA 91730-6782

Mailing address

7777 Milliken Ave Ste 350
Rancho Cucamonga, CA 91730-6782
Phone (909) 484-9182

Other names 1

  • Medical Doctor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000747 CA Part B Supplier - Clinic/Group Practice 7214993146 Receives reassigned benefits from 3 practitioners
Practice locations: Rancho Cucamonga, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0917675Sandra K Force - Obrowski, MD Inc7777 Milliken Ave, Suite 350, Rancho Cucamonga, CA 91730Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

7777 Milliken Ave
Ste 350B
Rancho Cucamonga, CA 91730

7777 Milliken Ave
Ste 350
Rch Cucamonga, CA 91730
Phone (909) 484-9182

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1255525937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 350",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306782",
            "telephone_number": "909-484-9182",
            "fax_number": "909-476-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 350",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306782",
            "telephone_number": "909-484-9182",
            "fax_number": "909-476-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA K FORCE-OBROWSKI MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "TIRADO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-484-6623"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G066813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.