CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI (NPI# 1669730321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669730321 |
| Entity Type | Organization |
| Organization Name | CENTRAL OCCUPATIONAL MEDICINE PROVIDERS - ONTARIO, A MEDICAL CORPORATI |
| Other Organization Name | COMP |
| Practice Address |
59 S Milliken Ave Suite 100 Ontario CA 91761-7811 |
| Mailing Address |
4300 Central Ave Riverside CA 92506-2918 |
| Practice Telephone | 9096058888 |
| Practice Fax Number | 9096058855 |
| Mailing Telephone | 9512222206 |
| Mailing Fax Number | 9512222196 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | MR. GREGORY JOSEPH SPEER (ADMINISTRATOR) |
| Authorized Official Telephone | 9512222206 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A48324 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 20A5982 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A48512 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G72529 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | G70519 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 20A9190 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| COMP | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588922157 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Clinic/Center | 3688 S Soto St, Vernon, CA 90058-1701 | 2012-05-02 |
| 1295093953 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 1690 W 6th St, Suite K, Corona, CA 92882-2910 | 2012-05-01 |
| 1679831242 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Clinic/Center | 18575 Gale Ave, Suite 155, City of Industry, CA 91748-1340 | 2012-05-02 |
| 1760740336 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 295 E Caroline St, Suite D-1, San Bernardino, CA 92408-3700 | 2012-05-02 |
| 1104184860 | Central Occupational Medicine Providers - Ontario, A Medical Corporati | Family Medicine | 13800 Heacock St, Suite C136, Moreno Valley, CA 92553-3339 | 2012-05-01 |
| Street Address |
59 S MILLIKEN AVE SUITE 100 |
| City | ONTARIO |
| State | CA |
| Zip Code | 91761-7811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528254240 | Patricia Litonjua Santa Maria Fernandez | Preventive Medicine | 59 S Milliken Ave, Suite 100, Ontario, CA 91761-7811 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418163 | Blue Oak Counseling Services, Inc. | Counselor | 3200 Guasti Rd #100, Ontario, CA 91761 | 2020-08-19 |
| 1578115986 | Hadel Awad | Behavior Technician | 1801 South Excise Ave, 116, Ontario, CA 91761 | 2019-07-15 |
| 1265902845 | Stephanie Escalante | Behavior Technician | 1801 S. Excise Ave. #116, Ontario, CA 91761 | 2018-11-27 |
| 1801395595 | Optimum Bio Lab Inc | Clinical Medical Laboratory | 1910 S Archibald Ave #d, Ontario, CA 91761 | 2018-02-07 |
| 1871010033 | Evelyn Esther Martinez | Case Manager/Care Coordinator | 1556 S. Sultana Ave., Ontario, CA 91761 | 2017-08-28 |
| 1750812525 | Building Bridges Christian Counseling | Marriage & Family Therapist | 3200 Guasti Road, Suite 100, Ontario, CA 91761 | 2017-03-23 |
| 1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
| 1700332327 | Ramon Cardenas | Registered Nurse | 721 E. Banyan St., Ontario, CA 91761 | 2016-09-01 |
| 1023565660 | Breanna Gonzalez | Occupational Therapist | 3449 S. Wrangler Pl., Ontario, CA 91761 | 2016-09-01 |
| 1326491507 | Sasha Khawaja | Specialist/Technologist | 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 | 2016-07-22 |
| Find all providers in zip 91761 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688708 | Kings Industrial Occupational Medical Center Inc | Clinic/Center | 936 G St Ste B, Reedley, CA 93654-2627 | 2020-10-28 |
| 1467067280 | Michael Scott Weiner | Clinic/Center | 2388 Ginger Cir, Newbury Park, CA 91320-3349 | 2020-09-09 |
| 1790396547 | Oak Valley Hospital District | Clinic/Center | 250 S Oak Ave Ste A4, Oakdale, CA 95361-3572 | 2020-08-14 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1386287878 | Starlight Therapy Center Inc | Clinic/Center | 1235 Indiana Ct Ste 107, Redlands, CA 92374-4540 | 2019-10-28 |
| 1356819924 | Unete Healthcare Associates LLC | Clinic/Center | 928 S Broadway Apt 813, Los Angeles, CA 90015-4578 | 2018-11-13 |
| 1669956710 | Sacramento Occupational Medical Center | Clinic/Center | 3840 Watt Ave., Number B, Sacramento, CA 95821-2640 | 2018-09-24 |
| 1487106217 | Imperial Valley Occupational Medicine | Clinic/Center | 1850 W Main St Ste E, El Centro, CA 92243-2106 | 2016-10-27 |
| 1306205570 | Blue Oak Medical Group | Clinic/Center | 4300 Long Beach Blvd Ste 170, Long Beach, CA 90807 | 2016-02-17 |
| 1225495203 | Blue Oak Medical Group | Clinic/Center | 10832 Laurel St Ste 102, Rancho Cucamonga, CA 91730 | 2016-01-22 |
| Find all providers with the same taxonomy | ||||
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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.