Temecula Valley Family Medical Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A60997 Issued in CA

Legal business name

TEMECULA VALLEY FAMILY MEDICAL GROUP

Doing business as

TEMECULA VALLEY FAMILY MEDICAL GROUP

Practice address

9380 7TH Street
Suite H
Rancho Cucamonga, CA 91730

Phone

(909) 484-2865

Fax

(909) 941-6974

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Earl B Quijada, MD

Title

Owner

Phone

(951) 764-9673

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TEMECULA VALLEY FAMILY MEDICAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1760802805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ ROAD",
            "address_2": "SUITE 313",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-764-9673",
            "fax_number": "909-941-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 7TH STREET",
            "address_2": "SUITE H",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-484-2865",
            "fax_number": "909-941-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMECULA VALLEY FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "QUIJADA",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-764-9673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A60997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A609970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEMECULA VALLEY FAMILY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yeow Teh Tee, D.D.S.
• Julianne Tejada
• Michael Tejada, CMT
• Jacquelin Tejeda, LMFT
• Antonia Tellez, LMFT
• Denise James Templeton, SLP
• Coracel Suratos Templo, DDS
• Tender Loving Care Home for Boys, Inc
• Tender Loving Care Home for Boys, Inc
• Brianna Tenorio

• Physical Medicine & Rehabilitation Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.