INFINITY MEDICAL GROUP, INC. (NPI# 1962518407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962518407 |
| Entity Type | Organization |
| Organization Name | INFINITY MEDICAL GROUP, INC. |
| Other Organization Name | INFINITY PEDIATRICS |
| Practice Address |
19333 Bear Valley Rd Ste 201 Apple Valley CA 92308-5150 |
| Practice Telephone | 7609568700 |
| Practice Fax Number | 7602404445 |
| Mailing Telephone | 7609568700 |
| Mailing Fax Number | 7602404445 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2018-03-02 |
| Authorized Official Name | DR. DAVID SUNGHO AHN (CEO) |
| Authorized Official Telephone | 7609568700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A61137 | CA | Allopathic & Osteopathic Physicians |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A61137 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A611370 | 05 |
| Other Name | Type Code |
|---|---|
| Infinity Pediatrics | Doing Business As Name - Organization |
| Street Address |
19333 BEAR VALLEY RD STE 201 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92308-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533670 | Allison Best | Nurse Practitioner | 19333 Bear Valley Rd Ste 201, Apple Valley, CA 92308-5150 | 2020-03-13 |
| 1083761084 | David Sungho Ahn | Pediatrics | 19333 Bear Valley Rd Ste 201, Apple Valley, CA 92308-5150 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
| 1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
| 1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
| 1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
| 1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
| 1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
| Find all providers in zip 92308 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942735923 | Andres A De La Llana Md Inc | Clinic/Center | 15982 Quantico Rd Ste C, Apple Valley, CA 92307-1382 | 2017-04-27 |
| 1639449960 | Damodara Rajasekhar, Md, A Medical Corporation | Clinic/Center | 18182 Outer Highway 18 Ste 103, Apple Valley, CA 92307-2200 | 2012-01-03 |
| 1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
| 1356526263 | Jaime C David Md Inc | Clinic/Center | 18419 Us Highway 18 Ste 6, Apple Valley, CA 92307-2333 | 2008-01-09 |
| 1316572563 | St. Jude Neighborhood Health Centers | Clinic/Center | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2020-03-09 |
| 1043855208 | Hisham Abukamleh Md. Inc | Clinic/Center | 18144 Us Highway 18 Ste 140, Apple Valley, CA 92307-2219 | 2019-11-12 |
| 1083002257 | Desert Mountain Medical Group, Inc. | Clinic/Center | 18523 Corwin Rd Ste E, Apple Valley, CA 92307-2300 | 2014-12-22 |
| 1689844573 | Shatha Bakir, M.d., Inc. | Clinic/Center | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2338 | 2008-03-06 |
| 1043407893 | Radiology & Imaging Consultants Pa | Clinic/Center | 7373 147th St W, Apple Valley, MN 55124-7690 | 2007-09-25 |
| 1649462508 | Fairview Clinics | Clinic/Center | 15650 Cedar Ave, Apple Valley, MN 55124-7283 | 2007-08-15 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 92308 |
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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.