Inland Valley Infectious Disease Medical Group Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC

Practice address

255 E Bonita Ave BLDG 1B
Pomona, CA 91767-1923

Phone

(909) 275-7470

Fax

(909) 971-4532

NPI assigned

Jun 2, 2006

Last updated

May 3, 2023By 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. John Mourani, M.D.NPI 1962460154

Title

President

Phone

(951) 929-6260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 8

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.

• John P Mourani, MD

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1962460154
  Medicare reassignment Care Compare group NPD Authorized official
• Irene Bakman, MD

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1881856995
  Medicare reassignment Care Compare group NPD
• Ossama Maloule, M.D.

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1033226949
  Medicare reassignment Care Compare group NPD
• Ye Min Oo

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1972975241
  Medicare reassignment Care Compare group NPD
• Kanokrat Suksompoth, M.D.

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1831109131
  Medicare reassignment Care Compare group
• Daniel Peter Gluckstein, M.D.

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1598703654
  Medicare reassignment
• Kerry Norman Gott, M.D.

  • Infectious Disease Physician
  • Pomona, CA
  • NPI 1013955186
  Medicare reassignment
• Steven A Floum, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pomona, CA
  • NPI 1194755660
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1417995598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N INDIAN HILL BLVD",
            "address_2": "801",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114611",
            "telephone_number": "909-275-7470",
            "fax_number": "909-971-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 1B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-275-7470",
            "fax_number": "909-971-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND VALLEY INFECTIOUS DISEASE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "MOURANI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-6260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Urology Medical Group Inc
• Inland Valley Anesthesia Medical Group
• Inland Valley Disease Management Clinic
• Inland Valley Hematology Oncology Associates, a Professional Medical
• Inland Valley Infectious Disease Medical Group
• Inland Valley Partners LLC (Inland Valley Care & Rehab Center)
• Inland Valley Surgical Center LLC (Inland Valley Surgery Center)
• Inland Valley Surgical Partners, LLC (Inland Valley Surgery Center)
• Savannah Innerarity
• Christina Midori Inouye, R.D.

• Infectious Disease Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.