Organization Active NPI

Aterna Wellness Inc

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1700769296
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATERNA WELLNESS INC
Practice address
16685 Sierra Lakes Pkwy Ste 56
Fontana, CA 92336-1255
Phone
(909) 347-0009
NPI assigned
Jul 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Ahmad Ghandour
Title
Ceo
Phone
(313) 231-8354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

16685 Sierra Lakes Pkwy Ste 56
Fontana, CA 92336-1255

Mailing address

15670 Parry Peak Dr
Fontana, CA 92336-4640

National Provider Directory

National Provider Directory

Locations

16685 Sierra Lakes Pkwy
Ste 56
Fontana, CA 92336
Phone (909) 347-0009

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1700769296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15670 PARRY PEAK DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923364640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16685 SIERRA LAKES PKWY STE 56",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361255",
            "telephone_number": "909-347-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATERNA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "GHANDOUR",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-231-8354"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.