Active NPI
Our Family Medical Group, Inc.
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
National Provider Identifier
1558068759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- OUR FAMILY MEDICAL GROUP, INC.
- Practice address
- 1131 W 6TH St Ste 150
Ontario, CA 91762-1116 - Phone
- (909) 482-4462
- NPI assigned
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelica K Aldaraca
- Title
- Credentialing Manager
- Phone
- (909) 236-7994
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Nephrology Physician | 207RN0300X |
Addresses
Primary practice location
1131 W 6TH St Ste 150
Ontario, CA 91762-1116
Mailing address
840 Towne Center Dr
Pomona, CA 91767-5900
Phone (909) 398-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1437601879
O20170106001779
National Provider Directory
National Provider Directory- Tax ID family
- Our Family Medical Group
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1457990152
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1437601879
-
- Gastroenterology Physician
- Chino, CA
- NPI 1982419081
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Ontario, CA
- NPI 1669049391
-
- Registered Nurse
- Santa Monica, CA
- NPI 1225875834
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1356521843
-
- Endocrinology, Diabetes & Metabolism Physician
- Pomona, CA
- NPI 1134197528
-
- Geriatric Medicine (Internal Medicine) Physician
- Ontario, CA
- NPI 1093720666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762992000000",
"number": "1558068759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 TOWNE CENTER DR",
"city": "POMONA",
"state": "CA",
"postal_code": "917675900",
"telephone_number": "909-398-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 W 6TH ST STE 150",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917621116",
"telephone_number": "909-482-4462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR FAMILY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A",
"authorized_official_last_name": "ALDARACA",
"authorized_official_first_name": "ANGELICA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "909-236-7994"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.