Yin-Jia Gong Medical Corporation

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

A56519 Issued in CA

Legal business name

YIN-JIA GONG MEDICAL CORPORATION

Practice address

112 N Riverside Ave
Rialto, CA 92376-5922

Phone

(909) 875-1212

Fax

(909) 498-7361

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yin-Jia Gong, MD

Title

Ceo

Phone

(909) 875-1212

Specialties & licenses 1

Addresses

Other names 1

• AccuCare Medical Group Doing business as

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1396926937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765922",
            "telephone_number": "909-875-1212",
            "fax_number": "909-498-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765922",
            "telephone_number": "909-875-1212",
            "fax_number": "909-498-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIN-JIA GONG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "YIN-JIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-875-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A56519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AccuCare Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Ryan Worrell, AMFT
• Daniel Eric Wright
• Erica Wu, DDS MS
• Suzanne Renee Yarbrough, LCSW
• Yds Pharmacy Corporation
• Youthful Creations and Interventions
• Cynthia Yzaguirre
• Amir Aziz Zaki, RPH
• Erin Zamora, LMFT, LPCC
• Aryan Zandi Moghadam, DDS

• Pain Clinic/Center in Rialto, CA
• Providers in Rialto, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.