Active NPI
Stewart E Rendon, M.D.
- Surgery Physician
- Ontario, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A78664
- Practice address
- 754 N Mountain Ave
Ontario, CA 91762-2544 - Phone
- (909) 460-4155
- Fax
- (909) 988-4414
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 8559 | SD | |
| Surgery Physician | 208600000X | A78664 | CA | Primary |
Addresses
Primary practice location
754 N Mountain Ave
Ontario, CA 91762-2544
Mailing address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78664 | CA | MD | Social Worker |
| A78664 | CA | MD | Surgery Physician |
| 8559 | SD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| Healthpointe Medical Group, Inc. | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients |
Locations
1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642
290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500
1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400
16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341
754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155
2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400
326 Poplar St
Blackfoot, ID 83221
Phone (208) 785-5801
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
Interoperability endpoints
- stewartrendon@bmh.medalliesdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Anaheim, CA
- NPI 1548201304
-
- Specialist
- Ontario, CA
- NPI 1740221472
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922034255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "714-367-5360",
"fax_number": "714-635-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 N MOUNTAIN AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917622544",
"telephone_number": "909-460-4155",
"fax_number": "909-988-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDON",
"first_name": "STEWART",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "8559",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A78664",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.