Active NPI
MD & Associates, Inc.
- Supports Brokerage Agency
- Fontana, CA
National Provider Identifier
1811181316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D08604467 | Other | CA | EDI SUBMITTER ID |
National Provider Directory
National Provider DirectoryLocations
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.