Cedar Pointe Medical Group Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A86043 Issued in CA

Legal business name

CEDAR POINTE MEDICAL GROUP INC

Practice address

229 N Laurel Ave
Ontario, CA 91762-3500

Phone

(909) 988-2554

Fax

(909) 988-2554

NPI assigned

Apr 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Fady Elias

Title

Medical Director

Phone

(760) 946-5177

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1942735568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N LAUREL AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623500",
            "telephone_number": "909-988-2554",
            "fax_number": "909-988-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR POINTE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "FADY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-946-5177",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A137960",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A122000",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A86043",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A130159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Noel Ceballos
• Sarah Cebreros
• Cedar Chiropractic, Dr. Johnny Mansour, D.C., Prof. Corp
• Cedar Medical Group, Inc.
• Cedar Pointe Chiropractic Group Alam Inc
• Fatoumatta Ceesay
• Vanessa Ceja Estrada
• Andrea Ceja
• Celeste Soto LCSW Inc
• Jennifer Paola Centeno

• Orthopaedic Surgery Physician in Ontario, CA
• Providers in Ontario, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.