Sindy Tadros Medical PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15220 Issued in CA

Legal business name

SINDY TADROS MEDICAL PC

Practice address

7890 Haven Ave
Suite 1
Rancho Cucamonga, CA 91730-3051

Phone

(909) 581-3051

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sabrina Rice Hanson

Title

Office Manager

Phone

(909) 581-3051

Specialties & licenses 1

Addresses

Other names 1

• Active Physical Medicine Doing business as

Tax ID family

Active Physical Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Active Physical Medicine

  • Chiropractor
  • Rancho Cucamonga, CA
  • NPI 1659651677
  NPD tax ID

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1972977643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "SUITE 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303051",
            "telephone_number": "909-581-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE",
            "address_2": "SUITE 1",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303051",
            "telephone_number": "909-581-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINDY TADROS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "RICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-581-3051",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Latesha Nicole Simpson
• Shaneka S Simpson
• Wilbur Caldwell Sims, M.D.
• Ravinder Singh, M.D.
• Malwinder S Singha, MD
• Katelyn Elizabeth Sinn, LCSW
• Gabriel Siordia
• Sona Sirounian, O.D.

• Physician Assistant in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.