Infinity Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A61137 Issued in CA

Legal business name

INFINITY MEDICAL GROUP, INC.

Practice address

19333 Bear Valley Rd Ste 201
Apple Valley, CA 92308-5150

Phone

(760) 956-8700

Fax

(760) 240-4445

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Sungho Ahn, MDNPI 1083761084

Title

Ceo

Phone

(760) 956-8700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Infinity Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Sungho Ahn, MD

  • Pediatrics Physician
  • Apple Valley, CA
  • NPI 1083761084
  NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1962518407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD STE 201",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085150",
            "telephone_number": "760-956-8700",
            "fax_number": "760-240-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD STE 201",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085150",
            "telephone_number": "760-956-8700",
            "fax_number": "760-240-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SUNGHO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-956-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61137",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A61137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A611370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infinity Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mostafa S. Ilbeigi, M.D.
• Parastou Ilbeigi, D.C.
• Pedram Ilbeigi, D.O.
• Justin Im
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• Keishon Ross Ingram
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• Integrated Health & Wellness Centers, Inc.
• Integrated Therapies, a Family Counseling Corporation

• Primary Care Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.