Og Mobile Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OG MOBILE MEDICAL GROUP

Practice address

8972 Appaloosa CT
Rancho Cucamonga, CA 91737-1401

Phone

(909) 274-9143

Fax

(909) 294-5911

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Clark-Poveda, PA

Title

Owner

Phone

(909) 274-9143

Specialties & licenses 3

Addresses

Practitioners 1

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

• Paul S. Vallejo, D.P.M.

  • Foot Surgery Podiatrist
  • Brea, CA
  • NPI 1003927203
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1851007173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8896",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917010896",
            "telephone_number": "909-274-9143",
            "fax_number": "909-295-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8972 APPALOOSA CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917371401",
            "telephone_number": "909-274-9143",
            "fax_number": "909-294-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OG MOBILE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "CLARK-POVEDA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-274-9143",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ochoa
• Jazmine Herlinda Ochoa
• Richard Ochoa, RN
• Richard Odoardi
• Irene Seruya Agutu Oduor, REGISTERED NURSE
• Matthew Taiwo Abiola Ogbeide, MD
• Mary Ogden
• Oluwatoyin Monsurat Ogunjale, DNP
• Odunayo Ogunrinu
• Sarah Masaye Ohashi

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.