NPIMap

Organization Active NPI

Neonatology Medical Group Inc

Doing business as Rialto Pediatrics

  • Neonatal-Perinatal Medicine Physician
  • Rialto, CA
National Provider Identifier
1932277183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
NEONATOLOGY MEDICAL GROUP INC
Doing business as
Rialto Pediatrics
Practice address
1786 North Riverside Ave
Suite 3
Rialto, CA 92376-2905
Phone
(909) 874-7660
Fax
(909) 874-9069
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Vellore Ganesh Muraligopal, MD
Title
President
Phone
(909) 790-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

1786 North Riverside Ave
Suite 3
Rialto, CA 92376-2905

Mailing address

PO Box 8188
Redlands, CA 92375-1388
Phone (909) 790-5071

Other identifiers 1

IdentifierTypeStateIssuer
0609044OtherCACITY OF RIALTO

Other names 1

  • Rialto Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neonatology Medical Group Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1786 N Riverside Ave
Ste 3
Rialto, CA 92376
Phone (909) 874-7660

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932277183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8188",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923751388",
            "telephone_number": "909-790-5071",
            "fax_number": "909-790-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 NORTH RIVERSIDE AVE",
            "address_2": "SUITE 3",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923762905",
            "telephone_number": "909-874-7660",
            "fax_number": "909-874-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEONATOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURALIGOPAL",
        "authorized_official_first_name": "VELLORE",
        "authorized_official_middle_name": "GANESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-790-5071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY OF RIALTO",
            "identifier": "0609044",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rialto Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • 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.