Organization Active NPI

Blessed Hands Medical Group

  • General Practice Physician
  • Ontario, CA
National Provider Identifier
1699653808
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLESSED HANDS MEDICAL GROUP
Practice address
980 W 6TH St Ste 213
Ontario, CA 91762-1235
Phone
(404) 259-8361
NPI assigned
Aug 25, 2025
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Joycelyn Gardner, APRNNPI 1588421903
Title
Ceo
Phone
(404) 259-8361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

980 W 6TH St Ste 213
Ontario, CA 91762-1235

Mailing address

980 W 6TH St Ste 213
Ontario, CA 91762-1235
Phone (404) 259-8361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031003414 CA Part B Supplier - Clinic/Group Practice 1456840156 Receives reassigned benefits from 2 practitioners
Practice locations: Ontario, CA

National Provider Directory

National Provider Directory

Locations

980 W 6th St
Ste 213
Ontario, CA 91762
Phone (404) 259-8361

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1699653808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W 6TH ST STE 213",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621235",
            "telephone_number": "404-259-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W 6TH ST STE 213",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621235",
            "telephone_number": "404-259-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HANDS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JOYCELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-259-8361",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.