G Marcus Ford MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

G MARCUS FORD MD

Practice address

12258 Perris Blvd
Moreno Valley, CA 92557-7418

Phone

(909) 964-9524

Fax

(888) 408-1572

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Ford, MD

Title

Owner

Phone

(323) 439-4811

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, and the practitioner matching its NPPES authorized official.

• Dong Eok Shin

  • Optician
  • Riverside, CA
  • NPI 1164075198
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1629663455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 ZAHARIAS ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556408",
            "telephone_number": "909-964-9524",
            "fax_number": "888-408-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12258 PERRIS BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577418",
            "telephone_number": "909-964-9524",
            "fax_number": "888-408-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G MARCUS FORD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-439-4811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Catherine Bautista Fulgar, DO
• Calvin Fung, DO
• Nathaniel Stanley Fung, M.D.
• Sommer Alyssa Funn
• Fy Eye Optometry Group Inc
• Lourdes Galindo
• Jerome Greg Galis
• Randi Elise Gallegos
• Melissa Sarah Gallo, PA-C
• Sonya Celestine Gallo

• Ophthalmology Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.