Individual provider Active NPI

Leticia M. Cadiz, M.D.

  • Pediatrics Physician
  • Fontana, CA
National Provider Identifier
1295781946
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C42712 Issued in CA
Practice address
16655 Foothill Blvd
Suite 100
Fontana, CA 92335-8416
Phone
(909) 427-1303
Fax
(909) 796-4158
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C42712 CA Primary

Addresses

Primary practice location

16655 Foothill Blvd
Suite 100
Fontana, CA 92335-8416

Mailing address

PO Box 12089
San Bernardino, CA 92423-2089
Phone (909) 793-3311

Other identifiers 1

IdentifierTypeStateIssuer
00C427120MedicaidCA

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
I20091002000350 CA Practitioner - Pediatric Medicine 1052457140 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42712CAMDMarriage & Family Therapist
C42712CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc Pediatrics CurrentSince Dec 18, 2017 Accepting new patients
Pinnacle Medical Group, Inc Pediatrics CurrentSince Dec 18, 2017 Accepting new patients
Pinnacle Medical Group, Inc. Pediatrics Past Accepting new patients

Locations

16655 Foothill Blvd
Ste 100
Fontana, CA 92335
Phone (909) 427-1303

16655 Foothill Blvd
Fontana, CA 92335
Phone (909) 356-9664

8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

Organizations & group practices 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295781946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12089",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924232089",
            "telephone_number": "909-793-3311",
            "fax_number": "909-796-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 FOOTHILL BLVD",
            "address_2": "SUITE 100",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923358416",
            "telephone_number": "909-427-1303",
            "fax_number": "909-796-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIZ",
        "first_name": "LETICIA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C42712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C427120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.