Individual provider Active NPI

Rashmi Godugu, MD

  • Family Medicine Physician
  • Ontario, CA
National Provider Identifier
1669049391
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A197625 Issued in CA
Practice address
1131 W 6TH St Ste 150
Ontario, CA 91762-1116
Phone
(909) 482-4462
Fax
(909) 482-4485
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 A197625 CA Primary

Addresses

Primary practice location

1131 W 6TH St Ste 150
Ontario, CA 91762-1116

Mailing address

1131 W 6TH St Ste 150
Ontario, CA 91762-1116
Phone (909) 482-4462

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
I20241003000690 CA Practitioner - Family Practice 1850822792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Family Medical Group IncGroup PAC ID 8729369665, 5 clinicians

Practice addresses (Care Compare)

1131 W 6TH St
Suite 150
Ontario, CA 91762-1116
Phone (909) 482-4462

Hospital & facility affiliations

  • Silverado Hospice Inc Hospice, Irvine, CA, CCN 051771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A197625CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Medical Group, Inc. Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Our Family Medical Group, Inc. Current Accepting new patients
Our Family Medical Group, Inc. Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Haven Eye Institute Inc Past Accepting new patients
Chino Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1131 W 6th St
Ste 150
Ontario, CA 91762
Phone (909) 482-4462

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 527-8110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1669049391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W 6TH ST STE 150",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621116",
            "telephone_number": "909-482-4462"
        },
        {
            "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",
            "fax_number": "909-482-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODUGU",
        "first_name": "RASHMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A197625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.