Tems Pediatric Care Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A31536 Issued in CA

Legal business name

TEMS PEDIATRIC CARE INC

Practice address

304 West F St
Ontario, CA 91762-3206

Phone

(909) 983-4746

Fax

(909) 983-9766

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Theodora Ewusi Mensah, MD

Title

Owner

Phone

(909) 983-4746

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497891022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WEST F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623206",
            "telephone_number": "909-983-4746",
            "fax_number": "909-983-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 WEST F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623206",
            "telephone_number": "909-983-4746",
            "fax_number": "909-983-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMS PEDIATRIC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EWUSI MENSAH",
        "authorized_official_first_name": "THEODORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-983-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A315360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.