NPIMap

Organization Active NPI

Family Medical Clinics of California, Inc

  • Family Medicine Physician
  • Ontario, CA
National Provider Identifier
1891123253
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42255 Issued in CA
Legal business name
FAMILY MEDICAL CLINICS OF CALIFORNIA, INC
Practice address
1520 N Mountain Ave
Suite F-128
Ontario, CA 91762-1128
Phone
(909) 984-5808
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
George Youssef, MD
Title
Medical Director
Phone
(909) 984-5808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A42255 CA Primary

Addresses

Primary practice location

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

Mailing address

1520 N Mountain Ave
Suite F-128
Ontario, CA 91762-1128
Phone (909) 984-5808

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Clinics of California Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1520 N Mountain Ave
Ste F128
Ontario, CA 91762
Phone (909) 984-5808

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1891123253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE",
            "address_2": "SUITE F-128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-984-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N MOUNTAIN AVE",
            "address_2": "SUITE F-128",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621128",
            "telephone_number": "909-984-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CLINICS OF CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUSSEF",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-984-5808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.