Acevedo Medical Group, a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A74961 Issued in CA

Legal business name

ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION

Doing business as

Pomona Family Medical Clinic

Practice address

1818 N Orange Grove Ave
Ste 305
Pomona, CA 91767-3028

Phone

(909) 622-2345

Fax

(909) 397-7654

NPI assigned

Oct 19, 2007

Last updated

Mar 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Loreto M Acevedo-Carmona

Title

Business Manager/Administrator

Phone

(909) 622-2345

Specialties & licenses 1

Addresses

Other names 1

• POMONA FAMILY MEDICAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1952590523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "STE 305",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-622-2345",
            "fax_number": "909-397-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N ORANGE GROVE AVE",
            "address_2": "STE 305",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673028",
            "telephone_number": "909-622-2345",
            "fax_number": "909-397-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACEVEDO MEDICAL GROUP, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO-CARMONA",
        "authorized_official_first_name": "LORETO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-622-2345"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A74961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POMONA FAMILY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dilshad Abtin, DDS
• Angelica Ivonne Aburto
• Brent Abutin, PTA
• Access Stairlifts and Mobility Solutions LLC
• Accountable Physicians Medical Group
• Briana Acevedo, BSW
• Cynthia Ann Acevedo
• Jacqueline Acevedo
• Casandra Aceves
• Naomi Jaye Achondo, OTD, OTR/L, SWC

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.