<unavail> in Ontario, CA - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Ontario, California. The current practice location for is 1871 E 4th St, Ontario, California. For appointments, you can reach them via phone at (909) 391-0022. The mailing address for is 1871 E 4th St, Ontario, California and phone number is (909) 391-0022.

is licensed to practice in California (license number ). The clinic also participates in the medicare program and its NPI number is 1326579525. 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) 391-0022.

Contact Information


	1871 E 4th St Ontario CA 91764-2601
	(909) 391-0022
	(909) 391-0026

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1871 E 4th St, Ontario, California
Authorized Official Name and Position	Leticia Ruiz Decruz (AUTHORIZED OFFICIAL)
Authorized Official Contact	9512040909
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1871 E 4th St Ontario CA 91764-2601 Ph: (909) 391-0022	1871 E 4th St Ontario CA 91764-2601 Ph: (909) 391-0022

NPI Details:

NPI Number	1326579525
Provider Enumeration Date	03/21/2017
Last Update Date	10/27/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	8628439916
Medicare Enrollment ID	O20240226003042

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326579525	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kamal K Hossain
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1982715843 PECOS PAC ID: 8224207501 Enrollment ID: I20110802000544

Reviews and Comments

Family Medicine in Ontario, CA

Friends Of Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1129 W 4th St, Ontario, CA 91762 Phone: 909-363-9300 Fax: 562-690-3182
Las Palmas Medical Group Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 N Euclid Ave, Suite A, Ontario, CA 91762 Phone: 909-391-3448
Ageless Health Group, A Professional Corp Nursing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 E E St, Ontario, CA 91764 Phone: 909-435-4707
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 402 E Holt Blvd, Ontario, CA 91761 Phone: 909-467-1605 Fax: 909-467-1608
Orion Internal Medicine Associates, Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 N Mountain Ave, Suite#206, Ontario, CA 91762 Phone: 562-912-2690 Fax: 310-817-6364
Unicare Community Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 W E St, Ontario, CA 91762 Phone: 909-988-2555 Fax: 909-391-3081
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 Concours Ste 4200, Ontario, CA 91764 Phone: 480-600-2801

- Medicare Primary Care in Ontario, CA