Individual provider Active NPI

Stewart E Rendon, M.D.

  • Surgery Physician
  • Ontario, CA
National Provider Identifier
1922034255
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A78664 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000484 CA Practitioner - General Surgery 2769428135 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78664CAMDSocial Worker
A78664CAMDSurgery Physician
8559SDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Sep 14, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.