| Inland Region Medical Group | |
|
9089 Baseline Road Suite 100 Rancho Cucamonga CA 91730 | |
| (909) 483-0505 | |
| (909) 483-0508 |
| Full Name | Inland Region Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 9089 Baseline Road, Rancho Cucamonga, California |
| Authorized Official Name and Position | Thomas Allen Woodbury (MANAGING PHYSICAN PARTNER) |
| Authorized Official Contact | 9094830505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Region Medical Group 9089 Baseline Road Suite 100 Rancho Cucamonga CA 91730 Ph: (909) 483-0505 | Inland Region Medical Group 9089 Baseline Road Suite 100 Rancho Cucamonga CA 91730 Ph: (909) 483-0505 |
| NPI Number | 1083724850 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769386093 |
|---|---|
| Medicare Enrollment ID | O20031119001002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083724850 | NPI | - | NPPES |
| GR0061231 | Medicaid | CA | |
| DA1449 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diana M Mak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104936988 PECOS PAC ID: 1759318223 Enrollment ID: I20050726001065 |
| Provider Name | Lizander C Pandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881862845 PECOS PAC ID: 2264578764 Enrollment ID: I20091014000645 |
| Provider Name | Brian T Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356674493 PECOS PAC ID: 1254470800 Enrollment ID: I20091120000397 |
| Provider Name | Thomas A Woodbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609878115 PECOS PAC ID: 1850295197 Enrollment ID: I20120120000521 |
| Provider Name | John M Geiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20130529000756 |
| Provider Name | Lisa N Von Zabern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952845372 PECOS PAC ID: 5698051795 Enrollment ID: I20170403002459 |
| Provider Name | Edmond Petrossian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821455452 PECOS PAC ID: 2062798424 Enrollment ID: I20170419001570 |
| Provider Name | Calvin T Doan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205364569 PECOS PAC ID: 0143567412 Enrollment ID: I20190124000482 |
| Provider Name | David Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669961801 PECOS PAC ID: 8426486077 Enrollment ID: I20200316000160 |
| Provider Name | Scott Alexander Mezei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730723388 PECOS PAC ID: 2668854910 Enrollment ID: I20221212001584 |
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 |