Morning Star Family Medicine PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

20A12006 Issued in CA

Legal business name

MORNING STAR FAMILY MEDICINE PC

Practice address

99 N San Antonio Ave
Suite 330
Upland, CA 91786-4575

Phone

(909) 931-0446

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Edwin L Fuentes, D.O.NPI 1053360966

Title

Owner/Physician

Phone

(909) 931-0446

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin L Fuentes, D.O.

  • Family Medicine Physician
  • Reidsville, NC
  • NPI 1053360966
  NPD Authorized official

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1629442785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE",
            "address_2": "SUITE 330",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864575",
            "telephone_number": "909-931-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N SAN ANTONIO AVE",
            "address_2": "SUITE 330",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864575",
            "telephone_number": "909-931-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORNING STAR FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "909-931-0446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "20A12006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Joanna Moreno
• Maria Y Moreno, EDD, LCSW
• Mario A Moreno, MSW
• Nestor Moreno
• John Morgan
• Morris Kokhab, M.D., a Medical Corporation
• Christie Morris
• Emily Ann Morton, PSYD
• Charlene Moskovitz, M.D.
• Mehdi Moslemi-Kebria, MD

• Clinical Medical Laboratory in Upland, CA
• Providers in Upland, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.