Individual provider Active NPI

Atul Bembi, D.O.

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1477524320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7865 Issued in CA
Practice address
7798 Cherry Ave.
Fontana, CA 92336
Phone
(909) 355-1296
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Comprehensive Primary Care Medical Associates, Inc 4 clinicians

Practice addresses (Care Compare)

7774 Cherry Ave
Fontana, CA 92336-4014
Phone (909) 355-1296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000480 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3971578717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A7865CAMDFamily Medicine Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Compre Hensive Primary Care Medical Associates, Inc Family Medicine CurrentSince Feb 1, 2004 Accepting new patients
Precision Occupational Medical Group, Inc. PastSince Feb 1, 2004 Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

7774 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

7798 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

8520 Archibald Ave
Bldg 20
Rancho Cucamonga, CA 91730

8520 Archibald Ave
#20B
Rancho Cucamonga, CA 91730

8520 Archibald Ave
Ste B
Rancho Cucamonga, CA 91730
Phone (909) 481-3909

1800 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 355-1296

1800 Medical Center Dr
Ste 99
Sn Bernrdno, CA 92411
Phone (909) 355-1296

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7865 CA Primary

Addresses

Primary practice location

7798 Cherry Ave.
Fontana, CA 92336

Mailing address

7798 Cherry Ave.
Fontana, CA 92336
Phone (909) 355-1296

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477524320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7798 CHERRY AVE.",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-355-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7798 CHERRY AVE.",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92336",
            "telephone_number": "909-355-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEMBI",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.