Central Occupational Medicine Providers Ontario Inc

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

CENTRAL OCCUPATIONAL MEDICINE PROVIDERS ONTARIO INC

Practice address

4300 Central Ave
Riverside, CA 92506-2918

Phone

(951) 222-2206

Fax

(951) 222-2196

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Joseph Speer

Title

Administrator

Phone

(951) 222-2206

Specialties & licenses 12

Addresses

Other names 1

• COMP Other name

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 20

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

• Charles Antig, PA-C

  • Physician Assistant
  • Azusa, CA
  • NPI 1659071207
  NPD (past)
• Tere-Monique Oresa Carrington, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1376006544
  NPD (past)
• Jivaun Daley, PTA

  • Physical Therapy Assistant
  • Riverside, CA
  • NPI 1124904222
  NPD (past)
• Ramy Elias, M.D.

  • Orthopaedic Surgery Physician
  • Fountain Valley, CA
  • NPI 1437165362
  NPD (past)
• Patricia Litonjua Santa Maria Fernandez, M.D.

  • Occupational Medicine Physician
  • Ontario, CA
  • NPI 1528254240
  NPD (past)
• Nancy Anne Foster, PTA

  • Physical Therapy Assistant
  • Moreno Valley, CA
  • NPI 1336787241
  NPD (past)
• Kimberly Kirton Fuselier, PT

  • Physical Therapist
  • Yorba Linda, CA
  • NPI 1063483899
  NPD (past)
• Emad Ghobrial, DC

  • Chiropractor
  • Ontario, CA
  • NPI 1346847647
  NPD (past)
• Bryan Vance Hunsaker Jr., PTA

  • Physical Therapy Assistant
  • Riverside, CA
  • NPI 1235002023
  NPD (past)
• Mohammed A Ibrahim, PT

  • Physical Therapist
  • Chino Hills, CA
  • NPI 1306056528
  NPD (past)
• Dionisio Dumbrique Lazaro, M.D.

  • Occupational Medicine Physician
  • City of Industry, CA
  • NPI 1508153842

  Internal Medicine

  NPD (past)
• Joseph Lee, PT, DPT

  • Physical Therapist
  • Corona, CA
  • NPI 1235082496
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1972861797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CENTRAL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062918",
            "telephone_number": "951-222-2206",
            "fax_number": "951-222-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 CENTRAL AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062918",
            "telephone_number": "951-222-2206",
            "fax_number": "951-222-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OCCUPATIONAL MEDICINE PROVIDERS ONTARIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-222-2206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48324",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C41297",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5982",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48512",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92637",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G72529",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "G70519",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9190",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11255",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA52001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COMP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Riverside, CA
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.