Pionerr Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PIONERR MEDICAL GROUP INC

Practice address

16510 Bloomfield Ave
Cerritos, CA 90703-2115

Phone

(562) 229-0902

Fax

(562) 229-0952

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William G Wong, M.D.

Title

President

Phone

(562) 229-9452

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pioneer Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pioneer Medical Group, Inc.

  • Non-Pharmacy Dispensing Site
  • Cerritos, CA
  • NPI 1932226941
  NPD tax ID

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912929852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1682",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907071682",
            "telephone_number": "562-229-9452",
            "fax_number": "562-920-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 BLOOMFIELD AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032115",
            "telephone_number": "562-229-0902",
            "fax_number": "562-229-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONERR MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-229-9452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ00376Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlos Augusto Pineda
• Katherine Pineda, APCC
• Maria Pineda
• Sandra Lee Pinkney
• Pioneer Medical Group, Inc.
• Sheldon Pitluk, O.D.
• Sarah Pittman
• Platinum Global Diagnostic
• Stephanie Lee Platt, MSW
• PMD Medical PC

• Multi-Specialty Clinic/Center in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.