NPIMap

Organization Active NPI

One Stop Multi-Specialty Medical Group, Inc.

  • Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1407000250
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A37592 Issued in CA
Legal business name
ONE STOP MULTI-SPECIALTY MEDICAL GROUP, INC.
Practice address
11328 Kenyon Way Ste B
Rancho Cucamonga, CA 91701-9291
Phone
(909) 483-3530
Fax
(909) 483-3423
NPI assigned
Nov 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Eduardo E Anguizola, M.D.
Title
Medical Director
Phone
(909) 483-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A37592 CA Primary

Addresses

Primary practice location

11328 Kenyon Way Ste B
Rancho Cucamonga, CA 91701-9291

Mailing address

11328 Kenyon Way Ste B
Rancho Cucamonga, CA 91701-9291
Phone (909) 483-3530

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1407000250",
    "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",
            "telephone_number": "909-483-3530",
            "fax_number": "909-483-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11328 KENYON WAY STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019291",
            "telephone_number": "909-483-3530",
            "fax_number": "909-483-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP MULTI-SPECIALTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-483-3530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A37592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.