Active NPI
Urbina MD & Garcia PA PC
- Family Medicine Physician
- Rialto, CA
National Provider Identifier
1972174118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- URBINA MD & GARCIA PA PC
- Practice address
- 195 E Foothill Blvd
Rialto, CA 92376-5165 - Phone
- (909) 874-3490
- Fax
- (909) 874-3470
- NPI assigned
- Jul 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marvin Urbina, MD
- Title
- President
- Phone
- (909) 874-3490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
195 E Foothill Blvd
Rialto, CA 92376-5165
Mailing address
195 E Foothill Blvd
Rialto, CA 92376-5165
Phone (909) 874-3490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225129281 | Other | CA | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230105003294 | CA | Part B Supplier - Clinic/Group Practice | 8729458807 |
Receives reassigned benefits from 2 practitioners Practice locations: Rialto, CA |
National Provider Directory
National Provider DirectoryLocations
195 E Foothill Blvd
Rialto, CA 92376
Phone (909) 874-3490
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1972174118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765165",
"telephone_number": "909-874-3490",
"fax_number": "909-874-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 E FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923765165",
"telephone_number": "909-874-3490",
"fax_number": "909-874-3470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URBINA MD & GARCIA PA PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "URBINA",
"authorized_official_first_name": "MARVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-874-3490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225129281",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.