Rancho Physicians Choice a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RANCHO PHYSICIANS CHOICE A MEDICAL CORPORATION

Doing business as

Rancho Clinica Medica Familiar

Practice address

1871 E 4TH St
Ontario, CA 91764-2601

Phone

(909) 391-0022

Fax

(909) 391-0026

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Leticia Ruiz Decruz

Title

Authorized Official

Phone

(951) 204-0909

Specialties & licenses 1

Addresses

Other names 1

• Rancho Clinica Medica Familiar Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 4

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

• Kamal Kali Hossain, MD

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1982715843
  Medicare reassignment NPD
• Mitra Ansari, PA-C

  • Physician Assistant
  • Riverside, CA
  • NPI 1396999777
  Medicare reassignment
• Veronica Martinez Vazquez

  • Community Health Worker
  • Porterville, CA
  • NPI 1710745468
  NPD
• Martha Estela Ruiz, PA-C

  • Physician Assistant
  • Westlake Village, CA
  • NPI 1750912689
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1326579525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642601",
            "telephone_number": "909-391-0022",
            "fax_number": "909-391-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642601",
            "telephone_number": "909-391-0022",
            "fax_number": "909-391-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PHYSICIANS CHOICE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "DECRUZ",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "RUIZ",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "951-204-0909"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rancho Clinica Medica Familiar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Obaldina Ramos, RRT
• Sebastian Raymond Ramos
• Yazmin Ramos
• Yvette Ramos
• Michael J Rams
• Stacy Randle
• Alexis Sophia Rangel
• Audree Rangel
• Ella Ransaw
• Roxanne Rasar

• Family Medicine Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.