Active NPI
Our Family Medical Group, Inc.
- Internal Medicine Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OUR FAMILY MEDICAL GROUP, INC.
- Practice address
- 9190 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5431 - Phone
- (909) 981-0989
- Fax
- (909) 949-6214
- NPI assigned
- Nov 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewa H Konca
- Title
- Physician
- Phone
- (909) 981-0989
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nephrology Physician | 207RN0300X |
Addresses
Primary practice location
9190 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5431
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550
Other practice location 1
1131 W 6th St Ste 150
Ontario, CA 91762-1116
Phone (909) 482-4462
Other practice location 2
5475 Walnut Ave Ste H
Chino, CA 91710-2609
Phone (909) 591-6446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
- NPI 1558068759
O20170106001779
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2141990 | Our Family Medical Group, Inc | Certificate of waiver | Dec 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Our Family Medical Group
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1457990152
-
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
- NPI 1558068759
-
- Gastroenterology Physician
- Chino, CA
- NPI 1982419081
Locations
5475 Walnut Ave
Ste H
Chino, CA 91710
Phone (909) 591-6446
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ontario, CA
- NPI 1669049391
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1134197528
Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
- NPI 1093720666
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1093028078
-
- Nephrology Physician
- Ontario, CA
- NPI 1356357560
-
- Registered Nurse
- Santa Monica, CA
- NPI 1225875834
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1700230224
-
- Family Medicine Physician
- Chino, CA
- NPI 1124681580
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1356521843
-
- Nurse Practitioner
- Glendora, CA
- NPI 1982342812
-
- Family Medicine Physician
- Pomona, CA
- NPI 1306806948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1437601879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1550",
"fax_number": "909-398-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9190 HAVEN AVE STE 102",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917305431",
"telephone_number": "909-981-0989",
"fax_number": "909-949-6214"
}
],
"practiceLocations": [
{
"address_1": "1131 W 6th St Ste 150",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917621116",
"country_code": "US",
"telephone_number": "909-482-4462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5475 Walnut Ave Ste H",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917102609",
"country_code": "US",
"telephone_number": "909-591-6446",
"fax_number": "909-591-1309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OUR FAMILY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-02",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "KONCA",
"authorized_official_first_name": "EWA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "909-981-0989"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
}
],
"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 13, 2025; 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.