Vituity Physician Services Pc - Medicare Primary Care in Fontana, CA

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Vituity Physician Services Pc is a medicare enrolled primary clinic (Family Medicine) in Fontana, California. The current practice location for Vituity Physician Services Pc is 16888 Baseline Ave, Fontana, California. For appointments, you can reach them via phone at (855) 422-8029. The mailing address for Vituity Physician Services Pc is 2100 Powell St Ste 400, Emeryville, California and phone number is () -.

Vituity Physician Services Pc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124884176. 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 (855) 422-8029.

Contact Information

Vituity Physician Services Pc
16888 Baseline Ave
Fontana
CA 92336-2083
(855) 422-8029
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameVituity Physician Services Pc
SpecialityFamily Medicine
Location16888 Baseline Ave, Fontana, California
Authorized Official Name and PositionDavid Andrew Birdsall (CHIEF OPERATIONS OFFICER)
Authorized Official Contact5103502600
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vituity Physician Services Pc
2100 Powell St Ste 400
Emeryville
CA 94608-1872

Ph: () -		Vituity Physician Services Pc
16888 Baseline Ave
Fontana
CA 92336-2083

Ph: (855) 422-8029

NPI Details:

NPI Number1124884176
Provider Enumeration Date02/27/2024
Last Update Date07/31/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0749620888
Medicare Enrollment IDO20240506004038

Medical Identifiers

Medical identifiers for Vituity Physician Services Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124884176NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Vituity Physician Services Pc acts as a billing entity for following providers:
Provider NameRuben R Avagimov
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558376947
PECOS PAC ID: 4385540574
Enrollment ID: I20031209000592
Provider NamePooja Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497762355
PECOS PAC ID: 7416927710
Enrollment ID: I20040726001110
Provider NameJames Timothy Evans
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104858059
PECOS PAC ID: 7416916507
Enrollment ID: I20041005000705
Provider NameLuis M Chaname
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1992712830
PECOS PAC ID: 1355398157
Enrollment ID: I20050404001075
Provider NameEdward A Pillar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295750941
PECOS PAC ID: 9739081852
Enrollment ID: I20050630001149
Provider NameDeborah E Small
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437166295
PECOS PAC ID: 6608951033
Enrollment ID: I20080310000634
Provider NameAimee M Vercio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720298672
PECOS PAC ID: 4880760263
Enrollment ID: I20080909000353
Provider NameRosa M Cortes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154338010
PECOS PAC ID: 4082774310
Enrollment ID: I20081117000647
Provider NameNancy C Moore
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1538361464
PECOS PAC ID: 2961595327
Enrollment ID: I20101006000946
Provider NameJoachim M Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366677197
PECOS PAC ID: 4385839315
Enrollment ID: I20101116000443
Provider NameMarianna E Ronay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508089897
PECOS PAC ID: 2062692767
Enrollment ID: I20110214000180
Provider NameJuan Velasquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770585192
PECOS PAC ID: 7719167428
Enrollment ID: I20110214000383
Provider NameNguyen-phuong D Pham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558516823
PECOS PAC ID: 3779764105
Enrollment ID: I20110218000143
Provider NameSiraj M Mowjood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588988588
PECOS PAC ID: 0042481368
Enrollment ID: I20110919000167
Provider NameMichael A Tomkins
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386914778
PECOS PAC ID: 6709049307
Enrollment ID: I20120517000649
Provider NameHeather H Bohn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043504004
PECOS PAC ID: 1759517493
Enrollment ID: I20131202000866
Provider NameZeenath Masood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881963130
PECOS PAC ID: 2365660370
Enrollment ID: I20140903001983
Provider NameOwer C Castro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588950216
PECOS PAC ID: 2062641970
Enrollment ID: I20141013001087
Provider NameChristina T Tadrous
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780922468
PECOS PAC ID: 9234351628
Enrollment ID: I20141120000211
Provider NameEugene Ho
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407129273
PECOS PAC ID: 4284956590
Enrollment ID: I20141121002163
Provider NameEmily J Robison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417227141
PECOS PAC ID: 3870816812
Enrollment ID: I20141227000034
Provider NameAnushree Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043574403
PECOS PAC ID: 5092022814
Enrollment ID: I20150910002985
Provider NameMaria G Rodriguez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780947499
PECOS PAC ID: 5890005433
Enrollment ID: I20151110002182
Provider NameTracy A Preston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255630398
PECOS PAC ID: 4789987785
Enrollment ID: I20160126000835
Provider NameDavid Ahamba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669885885
PECOS PAC ID: 3678863941
Enrollment ID: I20170807002761
Provider NameFrances Mcintyre Krel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871932723
PECOS PAC ID: 7517239817
Enrollment ID: I20170822001433
Provider NameKenneth D Herrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629576244
PECOS PAC ID: 3971864125
Enrollment ID: I20180302001425
Provider NameJennifer Luong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548640899
PECOS PAC ID: 5991084253
Enrollment ID: I20180629001844
Provider NameLeala B Lettice
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386023604
PECOS PAC ID: 8527319136
Enrollment ID: I20180920002433
Provider NameXavier Bermudez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124414651
PECOS PAC ID: 8325311723
Enrollment ID: I20190212003154
Provider NameVivian Khanh Ngo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982125969
PECOS PAC ID: 7416389465
Enrollment ID: I20191113003045
Provider NameNancy Chung
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275053688
PECOS PAC ID: 2365867389
Enrollment ID: I20200729000530
Provider NameNarges Moaddel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770004012
PECOS PAC ID: 1153733571
Enrollment ID: I20201209000591
Provider NameAshley N Molina
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780181289
PECOS PAC ID: 0648674713
Enrollment ID: I20210811002599
Provider NameDiem-trinh T Le
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780159806
PECOS PAC ID: 3072911197
Enrollment ID: I20211004002810
Provider NameNehal N Gandhi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679070098
PECOS PAC ID: 2668861782
Enrollment ID: I20211111000889
Provider NameRachel Shira Kaufman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669038154
PECOS PAC ID: 5092199406
Enrollment ID: I20220902002864
Provider NameManuel Alejandro Cruz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699302455
PECOS PAC ID: 3779991708
Enrollment ID: I20230526002082
Provider NameChristina S Sugirtharaj
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073135570
PECOS PAC ID: 2163877440
Enrollment ID: I20231005002015
Provider NameDjordje Milivojevic
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225612674
PECOS PAC ID: 2668879321
Enrollment ID: I20240103003066
Provider NameTimothy C. Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558149112
PECOS PAC ID: 1254772684
Enrollment ID: I20240515003688
Provider NameBradley Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447993530
PECOS PAC ID: 5890237176
Enrollment ID: I20240603002614
Provider NameShantela Stanfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083233894
PECOS PAC ID: 7214389238
Enrollment ID: I20240611004456

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
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.