Active NPI
Albert F. Dinicola, M.D.
- Pediatrics Physician
- Fontana, CA
National Provider Identifier
1801829528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G61028
- Practice address
- 8110 Mango Ave
Fontana, CA 92335-3603 - Phone
- (909) 822-1164
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G61028 | CA | Primary |
Addresses
Primary practice location
8110 Mango Ave
Fontana, CA 92335-3603
Mailing address
8110 Mango Ave
Fontana, CA 92335-3603
Phone (909) 583-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61028 | CA | MD | Pharmacist |
| G61028 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Pinnacle Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
Locations
16655 Foothill Blvd
Fontana, CA 92335
Phone (909) 356-9664
8110 Mango Ave
Fontana, CA 92335
Phone (909) 427-1303
10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579
Interoperability endpoints
- albertdinicola@pmgca.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1801829528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 MANGO AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353603",
"telephone_number": "909-583-2741",
"fax_number": "909-793-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 MANGO AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353603",
"telephone_number": "909-822-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINICOLA",
"first_name": "ALBERT",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G61028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.