S&S Medical Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

S&S MEDICAL GROUP

Practice address

1030 S Mount Vernon Ave # 200
Colton, CA 92324-4205

Phone

(951) 479-8994

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michael Sedrak, MDNPI 1750464111

Title

Owner

Phone

(310) 728-0494

Specialties & licenses 4

Addresses

Other names 1

• Santo Antonio Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Fayez Sedrak, MD

  • Surgery Physician
  • Corona, CA
  • NPI 1750464111
  Medicare reassignment Care Compare group NPD Authorized official
• Mourad Mourice Abdelmeseh

  • Physician Assistant
  • Rancho Cucamonga, CA
  • NPI 1932964822
  Medicare reassignment Care Compare group NPD
• Samantha Miller, PA-C

  • Medical Physician Assistant
  • Riverside, CA
  • NPI 1831505080
  Medicare reassignment Care Compare group
• Kashif Ahmed Zuberi, MBBCH FACS MRCSI

  • Surgery Physician
  • Bemidji, MN
  • NPI 1508919572
  NPD (past)

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1811754690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 FULLERTON AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813112",
            "telephone_number": "951-479-8994",
            "fax_number": "619-209-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S MOUNT VERNON AVE # 200",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244205",
            "telephone_number": "951-479-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "SEDRAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-728-0494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santo Antonio Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santo Antonio Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Camille Rutmayer, MSW
• Brianna Ruvalcaba
• Gabriel Ruvalcaba
• Madison Ryser
• Ann Ryvkin
• Siamak Saadat, M.D.
• Adrian Sabalboro
• Sarah Sadeghi, P.A.-C
• Sabrina Renee Sadighi, PA
• Edward M Sadovsky

• Urgent Care Clinic/Center in Colton, CA
• Providers in Colton, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.