NPIMap

Organization Active NPI

Onestop Multi Specialty Medical Group and Therapy

  • Medical Physician Assistant
  • San Bernardino, CA
National Provider Identifier
1740608678
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
A37952 Issued in CA
Legal business name
ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY
Practice address
435 Orange Show LN Ste 104
San Bernardino, CA 92408-2015
Phone
(877) 882-9832
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Eduardo Anguizola, MD
Title
Medical Director
Phone
(877) 882-9832

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X DC28576 CA
Orthopedic ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0800X DC29308 CA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X A37952 CA Primary

Addresses

Primary practice location

435 Orange Show LN Ste 104
San Bernardino, CA 92408-2015

Mailing address

11328 Kenyon Way Ste B
Rancho Cucamonga, CA 91701-9291
Phone (877) 882-9832

National Provider Directory

National Provider Directory
Tax ID family
One Stop Multi Specialty Medical Group and Therapy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

435 Orange Show Ln
Ste 104
San Bernardino, CA 92408
Phone (877) 882-9832

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1740608678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11328 KENYON WAY STE B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917019291",
            "telephone_number": "877-882-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ORANGE SHOW LN STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082015",
            "telephone_number": "877-882-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESTOP MULTI SPECIALTY MEDICAL GROUP AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "ANGUIZOLA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "877-882-9832",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC28576",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC29308",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "A37952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.