Chino Valley Family Physicians a Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHINO VALLEY FAMILY PHYSICIANS A MEDICAL GROUP

Practice address

13193 Central Ave.
Suite 100
Chino, CA 91710-3522

Phone

(909) 464-9675

Fax

(909) 590-3898

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Sally Hernandez

Title

Office Manager

Phone

(909) 464-9675

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1720120744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE.",
            "address_2": "SUITE 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103522",
            "telephone_number": "909-464-9675",
            "fax_number": "909-590-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13193 CENTRAL AVE.",
            "address_2": "SUITE 100",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103522",
            "telephone_number": "909-464-9675",
            "fax_number": "909-590-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO VALLEY FAMILY PHYSICIANS A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-464-9675"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720120744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chino Physical Therapy Inc.
• Chino Premier Surgery Center Limited Partnership
• Chino Spectrum Optometry PC
• Chino Stone & Surgery Center
• Chino Unified School District
• Chino Valley Medical Center
• Chino Valley Medical Group
• Chino Valley Orthopedic Center Inc
• Chino Valley Unified School District Behavioral Health Center
• Chino Vascular & Surgery Center Inc

• Family Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.