One Stop Multi-Specialty Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A37592 Issued in CA

Legal business name

ONE STOP MULTI-SPECIALTY MEDICAL GROUP, INC.

Practice address

435 Orange Show LN Ste 105
San Bernardino, CA 92408-2015

Phone

(909) 483-3530

NPI assigned

Sep 25, 2009

Organization subpart

No

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

Authorized official

Name

Eduardo Anguizola, MD

Title

Medical Director

Phone

(909) 483-3530

Specialties & licenses 1

Addresses

Tax ID family

One Stop Mulit Specialty Medical Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Access Health Medical Group, Inc

  • Orthopaedic Surgery Physician
  • Rancho Cucamonga, CA
  • NPI 1306092622
  NPD tax ID
• One Stop Multi-Specialty Medical Group, Inc.

  • Specialist
  • Downey, CA
  • NPI 1003145764
  NPD tax ID

Locations

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1306170279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11328 KENYON WAY STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 105",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082015",
            "telephone_number": "909-483-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MULTI-SPECIALTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.