Ace Medical Group a Professional Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A52501 Issued in CA

Legal business name

ACE MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing business as

Pine Avenue Urgent Care

Practice address

5857 Pine Ave
Chino Hills, CA 91709-6536

Phone

(909) 287-7474

Fax

(909) 287-7470

NPI assigned

Jan 20, 2011

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Dimowo, MD

Title

President

Phone

(909) 287-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Avenue Urgent Care Doing business as

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1801191929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5857 PINE AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096536",
            "telephone_number": "909-287-7474",
            "fax_number": "909-287-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5857 PINE AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917096536",
            "telephone_number": "909-287-7474",
            "fax_number": "909-287-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "DIMOWO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-287-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A52501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A52501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Avenue Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abdolhosseini, DDS Inc (Pine Center Dental Group)
• Hossein Abdolhosseini, D.D.S.
• Saman Aboudi, MD
• Enrique Abreu, DPT
• Zoe Margalit Abronson
• Felixia Janina Domingo Acuna
• Bree Auna Adams, PSY.D
• Stephanie Marie Adler, NP
• Afshin Arianjam, MD Inc.
• Ryan Hideo Agena, MD

• Emergency Medicine Physician in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.