SAN MARCOS MEDICAL GROUP INC. (NPI# 1548210297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548210297 |
| Entity Type | Organization |
| Organization Name | SAN MARCOS MEDICAL GROUP INC. |
| Other Organization Name | METROPOLITAN FAMILY MEDICAL CLINIC |
| Practice Address |
7576 Sterling Ave San Bernardino CA 92410-4202 |
| Practice Telephone | 9098817320 |
| Practice Fax Number | 9098817330 |
| Mailing Telephone | 9098817320 |
| Mailing Fax Number | 9098817330 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | NATT BALBIR (MD/PRESIDENT) |
| Authorized Official Telephone | 9517515470 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | GR0086721 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A529660 | 05 | |
| CA | 00A602850 | 05 | |
| CA | 00AX91490 | 05 | |
| CA | 00A460220 | 05 | |
| CA | GR0086721 | 05 | |
| CA | LICSENCE NUMBER | 00A76446 | 01 |
| CA | 00C507130 | 05 | |
| CA | 00A398050 | 05 | |
| CA | 00A514170 | 05 | |
| CA | 00A784100 | 05 |
| Other Name | Type Code |
|---|---|
| metropolitan family medical clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447396593 | San Marcos Medical Group Inc. | Clinical Medical Laboratory | 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736 | 2007-01-29 |
| 1952351686 | San Marcos Medical Group Inc. | Family Medicine | 4990 Arlington Ave, Riverside, CA 92504-2757 | 2006-05-11 |
| 1639129372 | San Marcos Medical Group Inc. | Family Medicine | 7965 Sierra Ave, Fontana, CA 92336-3329 | 2006-05-11 |
| 1235189978 | San Marcos Medical Group Inc. | Family Medicine | 742 W Highland Ave, San Bernardino, CA 92405-3839 | 2006-05-11 |
| 1184674830 | San Marcos Medical Group Inc. | Family Medicine | 1574 W Base Line St, San Bernardino, CA 92411-1736 | 2006-05-11 |
| Street Address |
7576 STERLING AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803954 | Community Health Care Foundation | Family Medicine | 406 E Vanderbilt Way Bldg 8, San Bernardino, CA 92408-3552 | 2019-04-18 |
| 1558837153 | Inland Empire Health Centers | Family Medicine | 1374 N Waterman Ave, San Bernardino, CA 92404-5313 | 2018-10-22 |
| 1356846281 | Maria Socorro Ruiz-rodriguez | Family Medicine | 850 W Highland Ave Ste A, San Bernardino, CA 92405-3855 | 2018-03-23 |
| 1588041859 | Mai-linh Ngoc Tran | Family Medicine | 1455 3rd Ave, San Bernardino, CA 92408 | 2015-05-06 |
| 1932514239 | Sarah Kin | Family Medicine | 1499 E Highland Ave, San Bernardino, CA 92404-4611 | 2014-06-25 |
| 1689930570 | Healthy Baby & Me, A Medical Corporation | Family Medicine | 1666 Medical Center Dr Ste 3, San Bernardino, CA 92411-1257 | 2012-04-05 |
| 1649548462 | Ralph R. Vega M.d., Dabfp Inc | Family Medicine | 1666 N. Medical Center Dr, Suite 2, San Bernardino, CA 92411-1257 | 2011-12-07 |
| 1477860187 | Molina Healthcare of California | Family Medicine | 170 East Highland Ave, San Bernardino, CA 92404-3658 | 2010-09-02 |
| 1043441900 | Healthy Preferred Inc | Family Medicine | 475 S Arrowhead Ave, Ste D, San Bernardino, CA 92408-1347 | 2009-07-27 |
| 1568629889 | Tae Kyu Kim | Family Medicine | 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 | 2008-05-22 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.