Organization Active NPI

Norton Delgado Family Medicine

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1407252950
Registry record updated Aug 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A10853 Issued in CA
Legal business name
NORTON DELGADO FAMILY MEDICINE
Practice address
8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730
Phone
(909) 527-4909
Fax
(909) 360-0128
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2018

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

Authorized official

Name
Laura A Norton, D.O.NPI 1275839755
Title
Ceo
Phone
(909) 418-4038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A10853 CA Primary

Addresses

Primary practice location

8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730

Mailing address

8283 Grove Ave Ste 202
Rancho Cucamonga, CA 91730-3140
Phone (909) 527-4909

Other identifiers 1

IdentifierTypeStateIssuer
20A10853OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151028002850 CA Part B Supplier - Clinic/Group Practice 4981913118 Receives reassigned benefits from 5 practitioners
Practice locations: Rancho Cucamonga, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2090556Norton Delgado Family Medicine8283 Grove Ave Ste 202, Rancho Cucamonga, CA 91730Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

9720 19th St
Rancho Cucamonga, CA 91737

8283 Grove Ave
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 527-4909

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30398/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535241600000",
    "number": "1407252950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303140",
            "telephone_number": "909-527-4909",
            "fax_number": "909-360-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 GROVE AVE STE 202",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-527-4909",
            "fax_number": "909-360-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTON DELGADO FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2018-08-26",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-418-4038",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A10853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A10853",
            "state": "CA"
        }
    ],
    "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 Aug 26, 2018; 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.