Individual provider Active NPI

Rolando G. Uykimpang, M.D.

  • General Practice Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1992782163
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A91957 Issued in CA
Practice address
10399 Lemon Ave Ste 102B
Rancho Cucamonga, CA 91737-3771
Phone
(909) 481-1002
Fax
(909) 481-1132
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A91957 CA Primary

Addresses

Primary practice location

10399 Lemon Ave Ste 102B
Rancho Cucamonga, CA 91737-3771

Mailing address

10399 Lemon Ave Ste 102B
Rancho Cucamonga, CA 91737-3771
Phone (909) 481-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91957CAMDClinical Social Worker
A91957CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Care Level Management Direct Medical Group, Inc General Practice PastSince Jun 26, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1992782163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10399 LEMON AVE STE 102B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373771",
            "telephone_number": "909-481-1002",
            "fax_number": "909-481-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10399 LEMON AVE STE 102B",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373771",
            "telephone_number": "909-481-1002",
            "fax_number": "909-481-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYKIMPANG",
        "first_name": "ROLANDO",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A91957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.