Active NPI
Mommy and Me Medical Group, Inc.
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOMMY AND ME MEDICAL GROUP, INC.
- Practice address
- 4190 Chicago Ave
Riverside, CA 92507-5348 - Phone
- (951) 683-2106
- NPI assigned
- Nov 6, 2006
- Last updated
- May 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guillermo J. Valenzuela, MD
- Title
- President
- Phone
- (909) 580-0633
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| General Practice Physician | 208D00000X | NU |
Addresses
Primary practice location
4190 Chicago Ave
Riverside, CA 92507-5348
Mailing address
PO Box 1762
Colton, CA 92324-0857
Phone (909) 580-3470
Other practice location 1
416 W Foothill Blvd
Rialto, CA 92376-4953
Phone (909) 421-0493
Other practice location 2
498 W 4th St
Perris, CA 92570-2070
Phone (951) 943-8899
Other practice location 3
1688 N Perris Blvd Ste H4
Perris, CA 92571-4746
Phone (951) 657-7876
Other practice location 4
1711 Orange St
Redlands, CA 92374-2254
Phone (909) 792-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1025759 | Mommy and Me Medical Group Inc | Certificate of waiver | May 16, 2028 |
| 05D1063824 | Mommy & Me Medical Group Inc. | Certificate of waiver | Jan 22, 2027 |
| 05D1084335 | Mommy and Me Medical Group Inc | Certificate of waiver | May 19, 2028 |
| 05D2005860 | Mommy and Me Medical Group, Inc | Certificate of waiver | Apr 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
1688 N Perris Blvd
#4C
Perris, CA 92571
1688 N Perris Blvd
Ste H4
Perris, CA 92571
Phone (951) 657-7876
1711 Orange St
Redlands, CA 92374
Phone (909) 792-2200
416 W Foothill Blvd
Rialto, CA 92376
Phone (909) 421-0493
1744 University Ave
#60
Riverside, CA 92507
Phone (951) 683-2106
1744 University Ave
Ste 100
Riverside, CA 92507
Phone (951) 243-5586
595 N Arrowhead Ave
Sn Bernrdno, CA 92401
Practitioners & affiliated clinicians
Practitioners 30
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.
-
- Obstetrics & Gynecology Physician
- Colton, CA
- NPI 1780927236
-
- Family Medicine Physician
- Monterey Park, CA
- NPI 1801855028
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1750608774
-
- Family Medicine Physician
- Redlands, CA
- NPI 1568758100
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1598881179
-
- Pediatrics Physician
- San Bernardino, CA
- NPI 1528557535
-
- Family Nurse Practitioner
- Santa Ana, CA
- NPI 1467980243
-
- Pediatrics Physician
- Riverside, CA
- NPI 1235620543
-
- Obstetrics & Gynecology Physician
- Colton, CA
- NPI 1073711156
-
- Obstetrics & Gynecology Physician
- Colton, CA
- NPI 1215905930
-
- Pediatrics Physician
- Loma Linda, CA
- NPI 1881013027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590710400000",
"number": "1730258765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1762",
"city": "COLTON",
"state": "CA",
"postal_code": "923240857",
"telephone_number": "909-580-3470",
"fax_number": "909-580-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 CHICAGO AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925075348",
"telephone_number": "951-683-2106"
}
],
"practiceLocations": [
{
"address_1": "416 W Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Rialto",
"state": "CA",
"postal_code": "923764953",
"country_code": "US",
"telephone_number": "909-421-0493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "498 W 4th St",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925702070",
"country_code": "US",
"telephone_number": "951-943-8899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1688 N Perris Blvd Ste H4",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "925714746",
"country_code": "US",
"telephone_number": "951-657-7876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 Orange St",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923742254",
"country_code": "US",
"telephone_number": "909-792-2200",
"fax_number": "909-790-2660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOMMY AND ME MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A",
"authorized_official_last_name": "VALENZUELA",
"authorized_official_first_name": "GUILLERMO",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-580-0633",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.