Individual provider Active NPI

Michelle Latoya Oneil, D.O

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1629361688
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11683 Issued in CA
Practice address
16854 Ivy Ave
Fontana, CA 92335-1504
Phone
(909) 422-8029
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 11683 CA Primary

Addresses

Primary practice location

16854 Ivy Ave
Fontana, CA 92335-1504

Mailing address

16854 Ivy Ave
Fontana, CA 92335-1504
Phone (909) 422-8029

Other practice location 1

1600 E Citrus Ave Ste A
Redlands, CA 92374-4802
Phone (909) 794-3682

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
I20120918000333 CA Practitioner - Family Practice 9830347764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Haven Elite Urgent CareGroup PAC ID 3072858554, 5 clinicians

Practice addresses (Care Compare)

1600 E Citrus Ave
Suite a
Redlands, CA 92374-4802
Phone (909) 294-3682

6417 Haven Ave
Suite 110
Rancho Cucamonga, CA 91737-3804
Phone (909) 941-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Elite Urgent Care CurrentSince Apr 1, 2025 Accepting new patients
County of San Bernardino Past Accepting new patients

Locations

6417 Haven Ave
Ste 110
Rch Cucamonga, CA 91737
Phone (909) 941-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1629361688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16854 IVY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351504",
            "telephone_number": "909-422-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16854 IVY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923351504",
            "telephone_number": "909-422-8029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Citrus Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923744802",
            "country_code": "US",
            "telephone_number": "909-794-3682",
            "fax_number": "909-389-1302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONEIL",
        "first_name": "MICHELLE",
        "middle_name": "LATOYA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "11683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.