Organization Active NPI

MD & Associates, Inc.

  • Supports Brokerage Agency
  • Fontana, CA
National Provider Identifier
1811181316
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
MD & ASSOCIATES, INC.
Practice address
14189 Foothill Blvd
107B
Fontana, CA 92335-3093
Phone
(909) 476-7679
Fax
(951) 572-3745
NPI assigned
Aug 28, 2007
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Terry Lee Moffit
Title
National Biiling Manager
Phone
(909) 476-7679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

14189 Foothill Blvd
107B
Fontana, CA 92335-3093

Mailing address

14189 Foothill Blvd
Suite 107B
Fontana, CA 92335-3093
Phone (909) 476-7679

Other identifiers 1

IdentifierTypeStateIssuer
D08604467OtherCAEDI SUBMITTER ID

National Provider Directory

National Provider Directory

Locations

14189 Foothill Blvd
#107B
Fontana, CA 92335
Phone (909) 476-7679

14189 Foothill Blvd
Ste 107B
Fontana, CA 92335

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1811181316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14189 FOOTHILL BLVD",
            "address_2": "SUITE 107B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353093",
            "telephone_number": "909-476-7679",
            "fax_number": "909-476-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14189 FOOTHILL BLVD",
            "address_2": "107B",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353093",
            "telephone_number": "909-476-7679",
            "fax_number": "951-572-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "MOFFIT",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "NATIONAL BIILING MANAGER",
        "authorized_official_telephone_number": "909-476-7679"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI SUBMITTER ID",
            "identifier": "D08604467",
            "state": "CA"
        }
    ],
    "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 Jun 27, 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.