DR. GEORGE A PONCE SR. (NPI# 1174554935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174554935 |
| Entity Type | Individual |
| Full Name | DR. GEORGE A PONCE SR. |
| Credential | M.D. |
| Practice Address |
12810 Heacock St Suite B201 Moreno Valley CA 92553-2854 |
| Mailing Address |
1947 Century Ave Riverside CA 92506-4662 |
| Practice Telephone | 9516012363 |
| Practice Fax Number | 9516012316 |
| Mailing Telephone | 9517899102 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A51194 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A51194 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12810 HEACOCK ST SUITE B201 |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295765428 | Cardiovascular Consultants of The Inland Valley | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-04 |
| 1629415120 | Armando Franco Md Inc | Family Medicine | 12810 Heacock St, Suite B206, Moreno Valley, CA 92553-3170 | 2013-05-24 |
| 1326315573 | Spectrum Clinical Research Institute Inc | Specialist | 12810 Heacock St, Suite B210, Moreno Valley, CA 92553-2854 | 2011-11-16 |
| 1619003944 | Clinton King Wong | Optometrist | 12810 Heacock St, Suite B104, Moreno Valley, CA 92553-2854 | 2007-02-23 |
| 1073662235 | Robert Thomas Silvola | Dentist | 12810 Heacock St, Ste B103, Moreno Valley, CA 92553-3171 | 2007-01-09 |
| 1548326028 | Robert Ray Witty | Physician Assistant | 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 | 2006-12-28 |
| 1215096409 | Armando L. Franco | Family Medicine | 12810 Heacock St, Suite B-206, Moreno Valley, CA 92553-2854 | 2006-12-06 |
| 1326073263 | Anna Maria Wilson | Nurse Practitioner | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790971570 | Amer A Jandali Md Inc | Internal Medicine | 23110 Atlantic Circle, Ste A, Moreno Valley, CA 92553 | 2007-09-14 |
| 1295765428 | Cardiovascular Consultants of The Inland Valley | Internal Medicine | 12810 Heacock St, Suite B201, Moreno Valley, CA 92553-2854 | 2006-07-04 |
| 1407276595 | Ie Cardiology Faculty Medical Associates | Internal Medicine | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2014-04-16 |
| 1033433909 | Sharina Mary Mapleton | Internal Medicine | 27200 Iris Ave, Mob2, Moreno Valley, CA 92555-4803 | 2010-03-22 |
| 1316952195 | Inland Empire Cardiology Faculty Medical Association Inc | Internal Medicine | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000141 | Suman S Kuppahally, M.d. Inc | Internal Medicine | 2505 Samaritan Dr Ste 600, San Jose, CA 95124-4017 | 2020-10-11 |
| 1336754472 | Ankur Gupta Medical Corporation | Internal Medicine | 820 S Akers St Ste 130, Visalia, CA 93277-8346 | 2020-09-15 |
| 1295351740 | Penciu Medical Apmc | Internal Medicine | 1585 Sierra Madre Villa Ave, Pasadena, CA 91107-1259 | 2020-06-21 |
| 1679113336 | La Pulse Medical, Inc | Internal Medicine | 14558 Sylvan St Ste 105, Van Nuys, CA 91411-2324 | 2020-01-10 |
| 1770122871 | John R. Nelson M.d. Inc. | Internal Medicine | 7061 N Whitney Ave Ste 101, Fresno, CA 93720-8025 | 2020-01-06 |
| 1730725789 | Norcal Medical Services, Inc | Internal Medicine | 2267 Lava Ridge Ct, Roseville, CA 95661-3062 | 2019-11-25 |
| 1932750957 | Enloe Medical Center | Internal Medicine | 1430 Esplanade Ste 6, Chico, CA 95926-3366 | 2019-09-20 |
| 1528610425 | Nicholas Russell | Internal Medicine | 2967 N Moorpark Rd, Thousand Oaks, CA 91360-4573 | 2019-07-10 |
| 1043871627 | Gy Medical Clinic Inc | Internal Medicine | 7400 Van Nuys Blvd Ste 112, Van Nuys, CA 91405-1972 | 2019-06-25 |
| 1902465792 | Pacific Heart & Vascular | Internal Medicine | 1234 W. Chapman Ave, Ste #101, Orange, CA 92868-2862 | 2019-06-06 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.