Cucamonga Valley Medical Group, Inc. - Medicare Primary Care in Fontana, CA

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Cucamonga Valley Medical Group, Inc. is a medicare enrolled primary clinic (Family Medicine) in Fontana, California. The current practice location for Cucamonga Valley Medical Group, Inc. is 16465 Sierra Lakes Parkway, #300, Fontana, California. For appointments, you can reach them via phone at (909) 429-2864. The mailing address for Cucamonga Valley Medical Group, Inc. is 16465 Sierra Lakes Parkway, #300, Fontana, California and phone number is (909) 429-2864.

Cucamonga Valley Medical Group, Inc. is licensed to practice in Maine (license number 858582). The clinic also participates in the medicare program and its NPI number is 1497783229. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (909) 429-2864.

Contact Information

Cucamonga Valley Medical Group, Inc.
16465 Sierra Lakes Parkway
#300
Fontana
CA 92336
(909) 429-2864
(909) 429-2868

Map and Direction


Primary Care Clinic Profile

Full NameCucamonga Valley Medical Group, Inc.
SpecialityFamily Medicine
Location16465 Sierra Lakes Parkway, Fontana, California
Authorized Official Name and PositionKyle Nelson Smart (PRESIDENT)
Authorized Official Contact9094292864
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cucamonga Valley Medical Group, Inc.
16465 Sierra Lakes Parkway
#300
Fontana
CA 92336

Ph: (909) 429-2864		Cucamonga Valley Medical Group, Inc.
16465 Sierra Lakes Parkway
#300
Fontana
CA 92336

Ph: (909) 429-2864

NPI Details:

NPI Number1497783229
Provider Enumeration Date06/29/2006
Last Update Date04/29/2013

Medicare PECOS Information:

Medicare PECOS PAC ID6709899883
Medicare Enrollment IDO20060712000099

Medical Identifiers

Medical identifiers for Cucamonga Valley Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497783229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 858582 (Maine)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cucamonga Valley Medical Group, Inc. acts as a billing entity for following providers:
Provider NameMuhammad R Mowjood
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851389464
PECOS PAC ID: 6800857129
Enrollment ID: I20041020000949
Provider NameKyle N Smart
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821030057
PECOS PAC ID: 7618994914
Enrollment ID: I20051026000661
Provider NameJesse S Dominguez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1467534313
PECOS PAC ID: 2961581491
Enrollment ID: I20080508000307
Provider NameKimberly Bekemeier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073710489
PECOS PAC ID: 7416140322
Enrollment ID: I20101025000231
Provider NameBrandon Tong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508151036
PECOS PAC ID: 7113144130
Enrollment ID: I20140814000732
Provider NameMirelle Ann M Ignacio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639350416
PECOS PAC ID: 9830378447
Enrollment ID: I20140915002520
Provider NameSushma S Sadula
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104489566
PECOS PAC ID: 0244659241
Enrollment ID: I20200924001048
Provider NamePaola L Yanez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790360659
PECOS PAC ID: 2264836907
Enrollment ID: I20210803002424
Provider NameKiranjeet Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336811561
PECOS PAC ID: 3971993262
Enrollment ID: I20211130002119
Provider NameAyman Fakeh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245469345
PECOS PAC ID: 6103080817
Enrollment ID: I20211207001863
Provider NameRishma Viren Bhatt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255000493
PECOS PAC ID: 8426440561
Enrollment ID: I20220121000917
Provider NameNoe Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962936930
PECOS PAC ID: 3274920160
Enrollment ID: I20220422002011
Provider NameStefanie Mary Schlosser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780349787
PECOS PAC ID: 8224425731
Enrollment ID: I20220503000288
Provider NameChristina M Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659027803
PECOS PAC ID: 3173901212
Enrollment ID: I20220602001042
Provider NameTiffany De Jesus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447799739
PECOS PAC ID: 7911369475
Enrollment ID: I20230815002543
Provider NameSarah Elizabeth Tamayo-perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548634744
PECOS PAC ID: 7517389943
Enrollment ID: I20230829001699
Provider NameCarla Iris Gonzalez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518470921
PECOS PAC ID: 1355763780
Enrollment ID: I20231214002075
Provider NameMaureen Nwaobilor Iwuoha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790550440
PECOS PAC ID: 1658715305
Enrollment ID: I20240221001198
Provider NamePeter Dung-quoc Doan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639791452
PECOS PAC ID: 9436567849
Enrollment ID: I20240419002680

Reviews and Comments


Family Medicine in Fontana, CA

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Alav Medical Corporation
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Medicare: Medicare Enrolled
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Phone: 909-434-1123    Fax: 909-261-8082
Vituity Physician Services Pc
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Phone: 855-422-8029    
Internal Medicine Medical Group
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16465 Sierra Lakes Parkway, Internal Medicine Medical Group Suite, Fontana, CA 92336
Phone: 909-770-8640    Fax: 909-770-8650

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.