NPIMap

Organization Active NPI

Neonatology Medical Group Inc

Doing business as Tots to Teens Pediatrics

  • Neonatal-Perinatal Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1649383472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
NEONATOLOGY MEDICAL GROUP INC
Doing business as
Tots to Teens Pediatrics
Practice address
33353 Yucaipa Blvd
Yucaipa, CA 92399-2018
Phone
(909) 790-7900
Fax
(909) 790-7058
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vellore Ganesh Muraligopal, MD
Title
President
Phone
(909) 790-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary

Addresses

Primary practice location

33353 Yucaipa Blvd
Yucaipa, CA 92399-2018

Mailing address

PO Box 8188
Redlands, CA 92375-1388
Phone (909) 790-7900

Other identifiers 1

IdentifierTypeStateIssuer
GR0004462MedicaidCA

Other names 1

  • Tots to Teens Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neonatology Medical Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649383472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923751388",
            "telephone_number": "909-790-7900",
            "fax_number": "909-790-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33353 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992018",
            "telephone_number": "909-790-7900",
            "fax_number": "909-790-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURALIGOPAL",
        "authorized_official_first_name": "VELLORE",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-790-5071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0004462",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tots to Teens Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucaipa, CA

Sources for this page

  • 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.