Ardent Medical Group PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ARDENT MEDICAL GROUP PC

Practice address

809 Bowsprit Rd # 207
Chula Vista, CA 91914-4527

Phone

(310) 418-4757

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Kenneth ReyesNPI 1083907547

Title

Cfo

Phone

(619) 993-7743

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kenneth Baldemor Reyes, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1083907547
  Medicare reassignment Care Compare group NPD Authorized official
• Anika Muthiah, M.D.

  • Family Medicine Physician
  • Claremont, CA
  • NPI 1225566656
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1437958634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 BOWSPRIT RD # 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144527",
            "telephone_number": "619-993-7743",
            "fax_number": "619-566-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 BOWSPRIT RD # 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144527",
            "telephone_number": "310-418-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-993-7743"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Arce
• Rosa Maria Arce
• Aily Archer
• Karla Arcos
• Rodolfo Arcovedo, M.D.
• Jennifer Arehart
• Andrea Arellano
• Erika Miroslava Arellano, AMFT
• Marissa Arellano
• Monica Arellano, LMFT

• Family Medicine Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.