Optum - Medicare Primary Care in Fontana, CA

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Optum is a medicare enrolled primary clinic (Family Medicine) in Fontana, California. The current practice location for Optum is 8110 Mango Ave, Fontana, California. For appointments, you can reach them via phone at (909) 427-1303. The mailing address for Optum is P.o. Box 12209, San Bernardino, California and phone number is (909) 357-1595.

Optum is licensed to practice in California (license number ). The clinic also participates in the medicare program and its NPI number is 1376876912. 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) 427-1303.

Contact Information

Optum
8110 Mango Ave
Fontana
CA 92335-3603
(909) 427-1303
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameOptum
SpecialityFamily Medicine
Location8110 Mango Ave, Fontana, California
Authorized Official Name and PositionCharles S Sabbah (MEDICAL DIRECTOR)
Authorized Official Contact9093571595
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Optum
P.o. Box 12209
San Bernardino
CA 92424-2209

Ph: (909) 357-1595		Optum
8110 Mango Ave
Fontana
CA 92335-3603

Ph: (909) 427-1303

NPI Details:

NPI Number1376876912
Provider Enumeration Date09/15/2009
Last Update Date04/04/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4880667609
Medicare Enrollment IDO20040818001020

Medical Identifiers

Medical identifiers for Optum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376876912NPI-NPPES
ZZZ14739ZOtherCAMEDICARE ID PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207Q00000XFamily Medicine (California)Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (California)Secondary
208000000XPediatrics (* (Not Available))Secondary
208000000XPediatrics (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Optum acts as a billing entity for following providers:
Provider NameKofi Adade-boafo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003898792
PECOS PAC ID: 9537060256
Enrollment ID: I20040115001196
Provider NameEsther Yin King Lo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053340562
PECOS PAC ID: 7012904055
Enrollment ID: I20040429001324
Provider NameFred Ping-hao Shu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1568435717
PECOS PAC ID: 4789659335
Enrollment ID: I20040827000870
Provider NameCharles S Sabbah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467491118
PECOS PAC ID: 1456310416
Enrollment ID: I20041005001283
Provider NameOz H Dror
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699757583
PECOS PAC ID: 9830157726
Enrollment ID: I20041222000884
Provider NameAnnamari C Cabrera
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881653434
PECOS PAC ID: 5092763250
Enrollment ID: I20050105000355
Provider NameMaria J Dunton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639112386
PECOS PAC ID: 6103879127
Enrollment ID: I20050301000984
Provider NameKenneth S Alpern
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1205830890
PECOS PAC ID: 5991742223
Enrollment ID: I20050408000444
Provider NameSophia Beyene
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861454993
PECOS PAC ID: 9931147030
Enrollment ID: I20050419001500
Provider NameKen Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1851351894
PECOS PAC ID: 3870539620
Enrollment ID: I20050630001175
Provider NamePaul Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588689350
PECOS PAC ID: 5193756260
Enrollment ID: I20050829000401
Provider NameOlga M Adan
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447206073
PECOS PAC ID: 6204867146
Enrollment ID: I20050830000700
Provider NameJoel H Block
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225098189
PECOS PAC ID: 6800836826
Enrollment ID: I20051102001103
Provider NameAlfonso J Carrillo
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316906894
PECOS PAC ID: 3072531631
Enrollment ID: I20051102001150
Provider NameAaron Jun
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1033194253
PECOS PAC ID: 5496773061
Enrollment ID: I20051102001193
Provider NameMonika L Kief-garcia
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477537439
PECOS PAC ID: 9032137609
Enrollment ID: I20051102001196
Provider NameJeanine A Mcneill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1316921380
PECOS PAC ID: 3476571043
Enrollment ID: I20051102001207
Provider NameFarnoosh Nooryani
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841209566
PECOS PAC ID: 9436177151
Enrollment ID: I20051110000440
Provider NameIkechi O Obiocha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467479295
PECOS PAC ID: 0941221030
Enrollment ID: I20051216000397
Provider NamePaul L Raper
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1508824715
PECOS PAC ID: 7517989882
Enrollment ID: I20051229000813
Provider NameMoses S Nasser
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902023682
PECOS PAC ID: 5294741534
Enrollment ID: I20060223000844
Provider NameMichael D Conrad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144335704
PECOS PAC ID: 9739190380
Enrollment ID: I20060510000249
Provider NameDan Lee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790906816
PECOS PAC ID: 7315045887
Enrollment ID: I20070606000590
Provider NameLisa Mahoney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609803329
PECOS PAC ID: 6800895046
Enrollment ID: I20071101000386
Provider NameFabiola O Sianturi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033313663
PECOS PAC ID: 1355431354
Enrollment ID: I20071213000875
Provider NameCarina De Leon Buhay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639143530
PECOS PAC ID: 2264515667
Enrollment ID: I20080207000699
Provider NamePhilame S Oronan
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1740338631
PECOS PAC ID: 5698848190
Enrollment ID: I20080716000610
Provider NameAyad S Makar
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1265491765
PECOS PAC ID: 4082798038
Enrollment ID: I20080801000413
Provider NameJ Duc Ngoc Nguyen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427018456
PECOS PAC ID: 3971687922
Enrollment ID: I20080806000690
Provider NameHuy C Truong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336109149
PECOS PAC ID: 8325122377
Enrollment ID: I20080807000266
Provider NameSeth Cohen
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215108006
PECOS PAC ID: 6608936836
Enrollment ID: I20081118000745
Provider NameAlexander Grimm
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326123951
PECOS PAC ID: 7810929544
Enrollment ID: I20081202000470
Provider NameBrandi Funk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679753354
PECOS PAC ID: 9234287202
Enrollment ID: I20090430000302
Provider NameLinda Lee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336188838
PECOS PAC ID: 0042369365
Enrollment ID: I20090515000539
Provider NameJesse L Guadiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558317933
PECOS PAC ID: 5991855306
Enrollment ID: I20090605000239
Provider NameHai X Le
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083804801
PECOS PAC ID: 5890847396
Enrollment ID: I20090714000639
Provider NameMark A Kasow
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619946266
PECOS PAC ID: 1456403997
Enrollment ID: I20090715000202
Provider NameLeticia M Cadiz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1295781946
PECOS PAC ID: 1052457140
Enrollment ID: I20091002000350
Provider NameThomas B Lin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861698151
PECOS PAC ID: 7113067588
Enrollment ID: I20091215000541
Provider NameMichelle Y Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588973523
PECOS PAC ID: 6305015785
Enrollment ID: I20110802000379
Provider NameNasser T Liasi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144466780
PECOS PAC ID: 5092987586
Enrollment ID: I20111005000259
Provider NameMonish J Laxpati
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053552893
PECOS PAC ID: 8022273291
Enrollment ID: I20120713000413
Provider NameVythao T Tran
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1578767992
PECOS PAC ID: 2668621087
Enrollment ID: I20120928000489
Provider NameLeslie Theroith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841473097
PECOS PAC ID: 7911150081
Enrollment ID: I20130124000063
Provider NameOmar Saleh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124280375
PECOS PAC ID: 5597810911
Enrollment ID: I20130218000230
Provider NameAdrienne Burn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700160546
PECOS PAC ID: 0244485860
Enrollment ID: I20130306000144
Provider NameJeremy J Neuner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205945250
PECOS PAC ID: 9436150190
Enrollment ID: I20130501000125
Provider NameJustin D Harris
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063617934
PECOS PAC ID: 0042404337
Enrollment ID: I20131001000632
Provider NameAparna Das
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1811181332
PECOS PAC ID: 5698909034
Enrollment ID: I20131017001940
Provider NameNatasha Alexander
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255615530
PECOS PAC ID: 5890920623
Enrollment ID: I20140203000874
Provider NameBahij G Ghazal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912180233
PECOS PAC ID: 3678698974
Enrollment ID: I20140714002087
Provider NameMelissa M Manion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295152130
PECOS PAC ID: 9133340029
Enrollment ID: I20141017000745
Provider NameJocelyn A Mcgrath
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467411058
PECOS PAC ID: 1850512203
Enrollment ID: I20141028001670
Provider NameAmit A Habbu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538318027
PECOS PAC ID: 2769671973
Enrollment ID: I20141204000003
Provider NameSu-yu Li
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1013247899
PECOS PAC ID: 9638392301
Enrollment ID: I20141226000674
Provider NameAlbert F Dinicola
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1801829528
PECOS PAC ID: 2961725627
Enrollment ID: I20150105000618
Provider NameChristopher K Bent
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255642120
PECOS PAC ID: 9335450642
Enrollment ID: I20150612000610
Provider NameCynthia Youpele
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669850053
PECOS PAC ID: 8123334679
Enrollment ID: I20150831000452
Provider NameJessica Lynn Willemse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831594670
PECOS PAC ID: 3072823087
Enrollment ID: I20151103002563
Provider NameRonnie A Alas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306267026
PECOS PAC ID: 5597067421
Enrollment ID: I20160108000564
Provider NameViviana E Partida
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275902967
PECOS PAC ID: 9931408978
Enrollment ID: I20160426001747
Provider NameJereen Perez Medina
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477959161
PECOS PAC ID: 6608167960
Enrollment ID: I20160617000274
Provider NameClark T Kholeif
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831484112
PECOS PAC ID: 7315230943
Enrollment ID: I20160720000808
Provider NameAmal Ibrahim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134228943
PECOS PAC ID: 4385937887
Enrollment ID: I20160720003003
Provider NameEiman N Anvari
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1780976654
PECOS PAC ID: 4385942234
Enrollment ID: I20160721001931
Provider NameSarita Shivakoti Dhakal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841628930
PECOS PAC ID: 9739315532
Enrollment ID: I20160810000900
Provider NameLeslie Ann Burgess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265893317
PECOS PAC ID: 0345537429
Enrollment ID: I20160919000974
Provider NameJason A Chou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083051700
PECOS PAC ID: 1557673266
Enrollment ID: I20160919001955
Provider NameFady S Boules
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639541022
PECOS PAC ID: 8527356773
Enrollment ID: I20161004002021
Provider NameDaniel H Jin
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1659697654
PECOS PAC ID: 5092003467
Enrollment ID: I20161018001744
Provider NameErica Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861857260
PECOS PAC ID: 1557641461
Enrollment ID: I20161212002021
Provider NameHyeran Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306210760
PECOS PAC ID: 3476849985
Enrollment ID: I20161221000447
Provider NameKevin Haonan Sun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265726517
PECOS PAC ID: 3779805502
Enrollment ID: I20170113000731
Provider NameJossette Portillo Dutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679024731
PECOS PAC ID: 4688958770
Enrollment ID: I20170309001972
Provider NameJogendra Singh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174998843
PECOS PAC ID: 3274824354
Enrollment ID: I20170313000975
Provider NameKevin Liao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144534876
PECOS PAC ID: 4183862378
Enrollment ID: I20170801000943
Provider NameVannessa M Hill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255870739
PECOS PAC ID: 9830461557
Enrollment ID: I20170815004111
Provider NameCristina Valdivia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649797846
PECOS PAC ID: 3375819733
Enrollment ID: I20171030003041
Provider NameChi Thi Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437679768
PECOS PAC ID: 1456618529
Enrollment ID: I20171127003058
Provider NameMaria Ortega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932594678
PECOS PAC ID: 4587922992
Enrollment ID: I20171212002810
Provider NameMazin Elhadary
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538554548
PECOS PAC ID: 9436417276
Enrollment ID: I20171227001461
Provider NameHiteshi Thakker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437437134
PECOS PAC ID: 3577783315
Enrollment ID: I20180112002687
Provider NameTammam Beydoun
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1033349014
PECOS PAC ID: 0840501524
Enrollment ID: I20180404002695
Provider NameBeverly Ahoni
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1275708760
PECOS PAC ID: 7416103544
Enrollment ID: I20180411001795
Provider NameAlaa Beydoun
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841552833
PECOS PAC ID: 4385942770
Enrollment ID: I20180828000083
Provider NameRavi R Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518384759
PECOS PAC ID: 4789996083
Enrollment ID: I20180828004071
Provider NameLuis B Salas Gorgoni
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750805669
PECOS PAC ID: 5890046031
Enrollment ID: I20180926003194
Provider NameJeffrey Chwa
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1285989236
PECOS PAC ID: 7214240639
Enrollment ID: I20181013000076
Provider NameTimothy Myers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548249246
PECOS PAC ID: 6406760198
Enrollment ID: I20190102001522
Provider NameRebecca Dolman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841764073
PECOS PAC ID: 8224371141
Enrollment ID: I20190516001878
Provider NameEmily Fernandez-bell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295249167
PECOS PAC ID: 1153656434
Enrollment ID: I20190709001201
Provider NameNick T Nguyen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1992977649
PECOS PAC ID: 3072841832
Enrollment ID: I20190819001791
Provider NameAlan Yiran Luo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134581168
PECOS PAC ID: 4587937677
Enrollment ID: I20190919003315
Provider NameShahnawaz Ansari
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417324633
PECOS PAC ID: 9931537131
Enrollment ID: I20200323001530
Provider NameAishah Jameela Mandeel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063977270
PECOS PAC ID: 6204242951
Enrollment ID: I20210304001594
Provider NameCamille M Chano
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083029425
PECOS PAC ID: 3476969882
Enrollment ID: I20210310000910
Provider NameRobert Cole
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447742333
PECOS PAC ID: 6103222369
Enrollment ID: I20210914000671
Provider NameAreej Alwahab
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497138002
PECOS PAC ID: 6608113832
Enrollment ID: I20211029001315
Provider NameAna B Meza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750024816
PECOS PAC ID: 9335528926
Enrollment ID: I20220628003017
Provider NameOmeed Ahadiat
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1497250955
PECOS PAC ID: 5890171003
Enrollment ID: I20221022000104
Provider NameYung Jen Kuo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750838249
PECOS PAC ID: 2769852888
Enrollment ID: I20230106001536
Provider NameGulzar Fidai
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1851398218
PECOS PAC ID: 9133028749
Enrollment ID: I20230222000591
Provider NameCherrie Bravo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962937177
PECOS PAC ID: 7012378599
Enrollment ID: I20230731003145
Provider NameCynthia Chidinma Olatunji
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1710506084
PECOS PAC ID: 2365899952
Enrollment ID: I20231102003644
Provider NameSean Xiang Chen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336777838
PECOS PAC ID: 1951795996
Enrollment ID: I20231110002489
Provider NameAnita Shant Sahagian
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1225693641
PECOS PAC ID: 9032556006
Enrollment ID: I20240326002517
Provider NameLinda Md Brown
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982632501
PECOS PAC ID: 4284067562
Enrollment ID: I20240508002496
Provider NameVivian Ngo
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063041267
PECOS PAC ID: 0345782363
Enrollment ID: I20240605004225

Reviews and Comments


Family Medicine in Fontana, CA

Unicare Community Health Center Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 17500 Foothill Blvd Ste A2, Fontana, CA 92335
Phone: 909-428-0170    
Senior's Choice Medical Group, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 8990 Sierra Avenue, Suite J&k, Fontana, CA 92335
Phone: 909-421-4886    
Pinnacle Medical Group, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 16655 Foothill Blvd, Fontana, CA 92335
Phone: 909-427-1303    Fax: 909-796-4158
Anousheh Ashouri Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 9440 Citrus Ave, Fontana, CA 92335
Phone: 909-823-3481    Fax: 909-363-8629
Alav Medical Corporation
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 16465 Sierra Lakes Pkwy, Ste 220, Fontana, CA 92336
Phone: 909-434-1123    Fax: 909-261-8082
Vituity Physician Services Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 16888 Baseline Ave, Fontana, CA 92336
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.