SAN MARCOS MEDICAL GROUP INC. (NPI# 1952351686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952351686 |
| Entity Type | Organization |
| Organization Name | SAN MARCOS MEDICAL GROUP INC. |
| Other Organization Name | METROPOLITAN FAMILY MEDICAL CLINIC INC. |
| Practice Address |
4990 Arlington Ave Riverside CA 92504-2757 |
| Practice Telephone | 9517859011 |
| Practice Fax Number | 9517859011 |
| Mailing Telephone | 9517859011 |
| Mailing Fax Number | 9517859011 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |
| 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 | GR0086723 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0086723 | 05 | |
| CA | 00A398050 | 05 | |
| CA | 00A514170 | 05 | |
| CA | 00AX91490 | 05 | |
| CA | 00A460220 | 05 | |
| CA | 00A784100 | 05 | |
| CA | 00C507130 | 05 | |
| CA | 00A602850 | 05 | |
| CA | 00A764460 | 05 |
| Other Name | Type Code |
|---|---|
| metropolitan family medical clinic inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548210297 | San Marcos Medical Group Inc. | Family Medicine | 7576 Sterling Ave, San Bernardino, CA 92410-4202 | 2006-05-11 |
| 1447396593 | San Marcos Medical Group Inc. | Clinical Medical Laboratory | 1574 W Base Line St Ste 107, San Bernardino, CA 92411-1736 | 2007-01-29 |
| 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 |
4990 ARLINGTON AVE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92504-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657468 | Ha Thi Ngoc Le | Family Medicine | 4990 Arlington Ave, Suite D, Riverside, CA 92504-2757 | 2006-04-06 |
| 1043719552 | Central Neighborhood Health Foundation - Riverside | Clinic/Center | 4990 Arlington Ave, Riverside, CA 92504-2757 | 2018-02-09 |
| 1902299191 | Laura Kai Quaye | Registered Nurse | 4990 Arlington Ave, Suite D, Riverside, CA 92504-2757 | 2015-03-11 |
| 1386802585 | Juliet Karen Sutherland | Physical Medicine & Rehabilitation | 4990 Arlington Ave, Suite G, Riverside, CA 92504-2757 | 2008-05-26 |
| 1225255185 | Reynaldo Raymundo Abejuela | Psychiatry & Neurology | 4990 Arlington Ave, Riverside, CA 92504-2757 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573676 | Chloe Ivana Licon | Marriage & Family Therapist | New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 | 2020-06-23 |
| 1720628993 | Palm Lily LLC | Non-emergency Medical Transport (VAN) | 2900 Adams Street Suite A435, Riverside, CA 92504 | 2020-01-15 |
| 1538630959 | Just for Kids Pediatric Dentistry Raymond Wang | Dentist | 7071 Indiana Ave, Riverside, CA 92504 | 2018-12-11 |
| 1477047835 | Deborah Kay Allen | Peer Specialist | 6939 Morningside Ave, Riverside, CA 92504 | 2018-06-19 |
| 1255833794 | Adiana Loya | Student in an Organized Health Care Education/Training Program | 7550 Orchard St Apt #58, Riverside, CA 92504 | 2018-03-01 |
| 1023524162 | Chiara Heyer | Counselor | 4130 Adams St Ste B, Riverside, CA 92504 | 2017-12-27 |
| 1801313408 | Gustavo Gallo Avelar | Behavioral Analyst | 4125 Rucker Ln, Riverside, CA 92504 | 2017-08-24 |
| 1891226205 | Susana Herold | Assistant Behavior Analyst | 17460 Krameria Ave, Riverside, CA 92504 | 2017-03-27 |
| 1710356167 | Erandi Portugal | Counselor | 6711 Alrington Avenue, Riverside, CA 92504 | 2015-09-16 |
| 1548636012 | Candace Lauren Bynder | Counselor | 6711 Arlington Avenue, Riverside, CA 92504 | 2015-08-19 |
| Find all providers in zip 92504 | ||||
| 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 |
|---|---|---|---|---|
| 1700309689 | Lumina Family Care, Inc. | Family Medicine | 6780 Indiana Ave Ste 110, Riverside, CA 92506-4284 | 2017-07-21 |
| 1730613019 | Iman Fobia | Family Medicine | 1971 University Avenue, Riverside, CA 92507 | 2017-04-13 |
| 1992189286 | Inpatient Consultants of California, Inc | Family Medicine | 7177 Brockton Ave Ste 217, Riverside, CA 92506-2633 | 2015-07-16 |
| 1376920116 | Koohzad Karimi | Family Medicine | 445 Magnolia Avenue, Riverside, CA 92501 | 2015-04-30 |
| 1528474103 | Ivy Cao | Family Medicine | 1971 University Ave, Family Medicine Department, Riverside, CA 92507 | 2014-07-03 |
| 1417372533 | John Mcdevitt | Family Medicine | 3550 Lillian St, Riverside, CA 92504-3609 | 2014-02-26 |
| 1972861797 | Central Occupational Medicine Providers Ontario Inc | Family Medicine | 4300 Central Ave, Riverside, CA 92506-2918 | 2012-04-30 |
| 1619241767 | Inpatient Consultants of California, Inc | Family Medicine | 3610 Central Ave Ste 205, Riverside, CA 92506-5905 | 2012-03-06 |
| 1437438033 | George Samir Nagib | Family Medicine | 7140 Indiana Ave., Riverside, CA 92504-3927 | 2011-08-12 |
| 1902193170 | Metate Medical, Inc. | Family Medicine | 3538 Central Ave, Suite 110, Riverside, CA 92506-2731 | 2011-07-07 |
| Find all providers in RIVERSIDE | ||||
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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.