Mayflower Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAYFLOWER MEDICAL GROUP, INC.

Practice address

1850 N Riverside Ave Ste 210
Rialto, CA 92376-8082

Phone

(909) 562-0067

Fax

(626) 562-0067

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Araceli Fuentes Hernandez

Title

Contracts Manager

Phone

(626) 800-1200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mayflower Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Mayflower Medical Group, Inc.

  • Cardiovascular Disease Physician
  • West Covina, CA
  • NPI 1235232620
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Family Medicine Physician
  • El Monte, CA
  • NPI 1598232324
  NPD tax ID
• Mayflower Medical Group, Inc.

  • Pediatrics Physician
  • Covina, CA
  • NPI 1851872014
  NPD tax ID

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1770050353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N RIVERSIDE AVE STE 210",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768082",
            "telephone_number": "909-562-0067",
            "fax_number": "626-562-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFLOWER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ARACELI",
        "authorized_official_middle_name": "FUENTES",
        "authorized_official_title_or_position": "CONTRACTS MANAGER",
        "authorized_official_telephone_number": "626-800-1200"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Allen Massey, RDA
• Maui Medical, Inc.
• Komaneche T Maxwell, SCHOOL PSYCHOLOGIST
• Stephanie McAfee
• Edwin McBride Jr., MDIV
• Amber McChristian
• Danielle McCree, PTA
• Kristen Josie McGee

• Pediatrics Physician in Rialto, CA
• Providers in Rialto, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.