Individual provider Active NPI

Sindy Kathey Tadros, D.O.

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1851542633
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2OA9767 Issued in 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
Last updated
Oct 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2OA9767 CA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000618 CA Practitioner - Family Practice 4284791179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Health CorpGroup PAC ID 3779911466, 32 clinicians

Practice addresses (Care Compare)

3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9767CAMDSpecialist
2OA9767CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Health Corp CurrentSince Jan 20, 2021 Accepting new patients
Hung Nguyen, DO, a Professional Corporation Family Medicine Past Accepting new patients
Walter D Bramson MD a Professional Corporation PastSince Jan 20, 2021 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

3634 Elizabeth St
Riverside, CA 92506
Phone (951) 341-8930

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1851542633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11450 CHURCH ST",
            "address_2": "UNIT 91",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303974",
            "telephone_number": "714-323-1134",
            "fax_number": "909-987-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11450 CHURCH ST",
            "address_2": "UNIT 91",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303974",
            "telephone_number": "714-323-1134",
            "fax_number": "909-987-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "SINDY",
        "middle_name": "KATHEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA9767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.