Nagasamudra S Ashok MD Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NAGASAMUDRA S ASHOK MD INC

Practice address

1520 N Mountain Ave BLDG F
Suite 128
Ontario, CA 91762-1128

Phone

(909) 949-9299

Fax

(909) 949-9029

NPI assigned

Jul 28, 2014

Organization subpart

Yes

Parent organization

NAGASAMUDRA S. ASHOK MD INCAs reported in NPPES

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

Authorized official

Name

Nagasamudra Shamarao Ashok, MD

Title

Ceo

Phone

(909) 949-9299

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nagasamudra S Ashok MD Inc

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386

  O20060320000716

  Same enrollment

Part of

Nagasamudra S Ashok MD Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Nagasamudra S Ashok MD Inc

  • Internal Medicine Physician
  • San Jacinto, CA
  • NPI 1477647386
  NPPES parent name

Practitioners 2

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

• Vivian Gonzales

  • Non-emergency Medical Transport (VAN)
  • Hemet, CA
  • NPI 1801199195
  NPD
• Ira Kenneth Grove, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1659327112

  Emergency Medicine

  NPD

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1851709406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE BLDG F",
            "address_2": "SUITE 128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-949-9299",
            "fax_number": "909-949-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE BLDG F",
            "address_2": "SUITE 128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-949-9299",
            "fax_number": "909-949-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAGASAMUDRA S ASHOK MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAGASAMUDRA S. ASHOK MD INC",
        "enumeration_date": "2014-07-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "ASHOK",
        "authorized_official_first_name": "NAGASAMUDRA",
        "authorized_official_middle_name": "SHAMARAO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-949-9299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A415890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Anna Myers
• Taryn L Myers, BCBA
• Myotherapy Bodywork and Rehabilitation
• Samantha NA, PHARM.D.
• Alicia Nadler
• Kenneth Nageotte
• Devinderpal Singh Nagra, DDS
• Paola Najarro
• Christine Najera
• Jennifer Green Nakamura, LCSW

• Urgent Care Clinic/Center in Ontario, CA
• Providers in Ontario, 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 Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.