Rialto Family Medical Group Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RIALTO FAMILY MEDICAL GROUP INC.

Practice address

1786 N Riverside Ave
#1
Rialto, CA 92376-8059

Phone

(909) 421-9576

Fax

(909) 421-0711

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Gerald Ballaine, D.O.

Title

Owner

Phone

(909) 421-9576

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth Steven Christensen, PA-C

  • Physician Assistant
  • North Hollywood, CA
  • NPI 1013915305
  NPD (past)
• Phuc Tuan Huynh, D.O.

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1922005602
  NPD (past)
• Eve Marie Traill, PA-C

  • Physician Assistant
  • Roseburg, OR
  • NPI 1356331060
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326134586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 N RIVERSIDE AVE",
            "address_2": "#1",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768059",
            "telephone_number": "909-421-9576",
            "fax_number": "909-421-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 N RIVERSIDE AVE",
            "address_2": "#1",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768059",
            "telephone_number": "909-421-9576",
            "fax_number": "909-421-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIALTO FAMILY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALLAINE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-421-9576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dafne Reyes
• Francis Reyes, RN
• Inez Reyes
• Andy Paul Reynaga, MD
• Rialto Family Health Services Inc.
• Rialto Healthcare Group Inc (Rialto Pharmacy)
• Rialto Healthcare LLC (Rialto Post Acute Center)
• Rialto Physical Therapy Center, Inc
• Rialto Unified School District
• Rick T. Kim DDS Inc.

• General Practice Physician in Rialto, CA
• Providers in Rialto, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.