Sindy Kathey Tadros, D.O.
Individual provider Active NPI Family Medicine Physician · Rancho Cucamonga, CA
NPI 1851542633 · NPPES record last updated Oct 9, 2008
Key facts
- NPI
- 1851542633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2OA9767 (CA)
- Practice address
- 11450 Church St
Unit 91
Rancho Cucamonga, CA 91730-3974 - Phone
- (714) 323-1134
- Fax
- (909) 987-6666
- NPI assigned
- Oct 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optima Health Corp
Practice addresses (Care Compare)
3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008
Hospital & facility affiliations
- Lake Arrowhead Home Healthcare, LLC
- Vitas Healthcare Corporation of California
- Mountains Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090319000618 | CA | Practitioner - Family Practice | 4284791179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2OA9767 | CA | MD | Family Medicine Physician |
| 9767 | CA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Health Corp | Current |
Accepting new patients | |
| Hung Nguyen, DO, a Professional Corporation | Family Medicine | Past | Accepting new patients |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Walter D Bramson MD a Professional Corporation | Past |
Accepting new patients |
Locations
3634 Elizabeth St
Riverside, CA 92506
Phone (951) 341-8930
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEGFAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2OA9767 | CA | Yes |
Addresses
Primary practice location
11450 Church St
Unit 91
Rancho Cucamonga, CA 91730-3974
Mailing address
11450 Church St
Unit 91
Rancho Cucamonga, CA 91730-3974
Phone (714) 323-1134
Other providers in Rancho Cucamonga, CA
- Viet D Ta
- Senia Elizabeth Tabora
- Andrew Florentino Tacazon Jr.
- Christina Tadeja
- Joseph H Tadros
- Priscila Tahk
- Tahoe Trio LLC Dba Right at Home
- Christina Melissa Tait
- Ernest Takang
- Talal Samaan MD PC
All providers in Rancho Cucamonga, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.