Pinnacle Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PINNACLE MEDICAL GROUP, INC.

Practice address

2150 N Waterman Ave
San Bernardino, CA 92404-4811

Phone

(909) 881-4115

Fax

(909) 796-4158

NPI assigned

Jun 13, 2006

Reactivated

Nov 15, 2012

Last updated

Mar 21, 2013By 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. Charles Sabbah, M.D.NPI 1467491118

Title

Medical Director

Phone

(909) 881-4115

Specialties & licenses 3

Addresses

Tax ID family

Pinnacle Medical Group3 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.

• Pinnacle Medical Group, Inc

  • Family Nurse Practitioner
  • Rialto, CA
  • NPI 1548535446
  NPD tax ID
• Pinnacle Medical Group, Inc.

  • Family Medicine Physician
  • Rialto, CA
  • NPI 1295778058
  NPD tax ID

Locations

Practitioners 54

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.

• Charles S Sabbah, M.D.

  • Internal Medicine Physician
  • Rialto, CA
  • NPI 1467491118
  NPD (past) Authorized official
• Kofi Adade-Boafo, M.D.

  • Pediatrics Physician
  • San Bernardino, CA
  • NPI 1003898792
  NPD (past)
• Olga M. Adan, M.D.

  • Pediatrics Physician
  • Rialto, CA
  • NPI 1447206073
  NPD (past)
• Faramarz Alav, M.D.

  • Internal Medicine Physician
  • Fontana, CA
  • NPI 1508825027
  NPD (past)
• Ashee Amjad Amjad Waryam, FNP

  • Nurse Practitioner
  • Merced, CA
  • NPI 1760920391
  NPD (past)
• Amanda Ardessi, FNP-C

  • Family Nurse Practitioner
  • Moreno Valley, CA
  • NPI 1336895580
  NPD (past)
• Sophia Beyene, DO

  • Family Medicine Physician
  • Rialto, CA
  • NPI 1861454993
  NPD (past)
• Heba A. Boshra, M.D.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1942575022
  NPD (past)
• Carina D Buhay, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1639143530
  NPD (past)
• Leticia M. Cadiz, M.D.

  • Pediatrics Physician
  • Fontana, CA
  • NPI 1295781946
  NPD (past)
• Camille Chano, MD

  • Family Medicine Physician
  • Rialto, CA
  • NPI 1083029425
  NPD (past)
• Paul Chen, M.D.

  • Internal Medicine Physician
  • Rialto, CA
  • NPI 1588689350
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1447292248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12089",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924232089",
            "telephone_number": "909-335-4148",
            "fax_number": "909-796-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044811",
            "telephone_number": "909-881-4115",
            "fax_number": "909-796-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-03-21",
        "deactivation_date": "2009-09-10",
        "reactivation_date": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "SABBAH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-881-4115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamalani Damaris Pineda
• Ventura Josefina Pineda
• Yasmin Maria Pineda
• Bianca Raylene Pinedo
• Pinnacle Edge Advisory, LLC
• Camille Pippin, MS
• Araceli Carlon Pirir
• Mitree Michael Piromgraipakd, P.T., D.P.T.
• Lori Dana Pitts, B.A.
• Jamie Pivonka-Jones, PHD

• Family Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, 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 Mar 21, 2013; 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.