| Foothill Primary Care | |
|
8235 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0719 | |
| (909) 484-4900 | |
| (909) 243-7868 |
| Full Name | Foothill Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 8235 Rochester Ave Ste 110, Rancho Cucamonga, California |
| Authorized Official Name and Position | Viet Duy Ta (PRESIDENT) |
| Authorized Official Contact | 9094844900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothill Primary Care 8235 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0719 Ph: (909) 484-4900 | Foothill Primary Care 8235 Rochester Ave Ste 110 Rancho Cucamonga CA 91730-0719 Ph: (909) 484-4900 |
| NPI Number | 1497760987 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 03/09/2012 |
| Medicare PECOS PAC ID | 5193713899 |
|---|---|
| Medicare Enrollment ID | O20040503000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497760987 | NPI | - | NPPES |
| GR0096040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69957 (California) | Primary |
| 208000000X | Pediatrics | A77358 (California) | Secondary |
| Provider Name | Viet Duy Ta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861415390 PECOS PAC ID: 0244228922 Enrollment ID: I20040503000599 |
| Provider Name | Shawn K Shintaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710342332 PECOS PAC ID: 7810269990 Enrollment ID: I20170824001231 |
| Provider Name | Jeanie Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982075859 PECOS PAC ID: 4587905682 Enrollment ID: I20190417001506 |
| Provider Name | Monica B Xie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053872226 PECOS PAC ID: 3274920079 Enrollment ID: I20220426001467 |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
Bluemedplus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10970 Arrow Rte Ste 205, Rancho Cucamonga, CA 91730 Phone: 909-446-2304 | |
California Foothills Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8211 Rochester Ave, Suite 101, Rancho Cucamonga, CA 91730 Phone: 909-945-2425 Fax: 909-948-6971 | |
Andrea Tieng, Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10801 Foothill Blvd Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-255-7200 Fax: 909-255-7215 | |
Prohealth Partners A Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8008 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-483-1236 Fax: 909-344-3910 | |
Mihir K. Sanghvi, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5155 Seagreen Ct, Rancho Cucamonga, CA 91739 Phone: 951-323-5598 | |
Deepak Thiagarajan, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730 Phone: 909-881-5994 |