NPIMap

Organization Active NPI

San Marcos Medical Group Inc

Doing business as Summit Family Health Center

  • Obstetrics & Gynecology Physician
  • Fontana, CA
National Provider Identifier
1447446448
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SAN MARCOS MEDICAL GROUP INC
Doing business as
Summit Family Health Center
Practice address
14980 Summit Ave Ste 230
Fontana, CA 92336-5390
Phone
(909) 376-4438
Fax
(909) 881-7329
NPI assigned
Sep 24, 2007
Last updated
Apr 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Authorized official

Name
Natt Balbir, MD
Title
MD/President
Phone
(909) 376-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

14980 Summit Ave Ste 230
Fontana, CA 92336-5390

Mailing address

14980 Summit Ave Ste 230
Fontana, CA 92336-5390
Phone (909) 376-4438

Other names 1

  • SUMMIT FAMILY HEALTH CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000402 CA Part B Supplier - Clinic/Group Practice 0749222495 Receives reassigned benefits from 51 practitioners
Practice locations: Fontana, CA; San Bernardino, CA

National Provider Directory

National Provider Directory

Locations

14980 Summit Ave
Fontana, CA 92336

7965 Sierra Ave
Fontana, CA 92336
Phone (909) 356-4459

7576 Sterling Ave
Ste C
Sn Bernrdno, CA 92410
Phone (909) 381-8933

Practitioners & affiliated clinicians

Practitioners 52

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.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1447446448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14980 SUMMIT AVE STE 230",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365390",
            "telephone_number": "909-376-4438",
            "fax_number": "909-881-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14980 SUMMIT AVE STE 230",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365390",
            "telephone_number": "909-376-4438",
            "fax_number": "909-881-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN MARCOS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "BALBIR",
        "authorized_official_first_name": "NATT",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "909-376-4438",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMMIT FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.