| Arrowhead Family Medical Group Inc | |
|
400 N Pepper Ave Colton CA 92324-1801 | |
| (909) 580-6230 | |
| (909) 580-6308 |
| Full Name | Arrowhead Family Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Pepper Ave, Colton, California |
| Authorized Official Name and Position | David August Lanum (PRESIDENT) |
| Authorized Official Contact | 9095806230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrowhead Family Medical Group Inc Po Box 8714 Redlands CA 92375-1914 Ph: (909) 580-6230 | Arrowhead Family Medical Group Inc 400 N Pepper Ave Colton CA 92324-1801 Ph: (909) 580-6230 |
| NPI Number | 1164696381 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 09/08/2008 |
| Medicare PECOS PAC ID | 3577639004 |
|---|---|
| Medicare Enrollment ID | O20080908000432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164696381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61543 (California) | Primary |
| Provider Name | Ruben R Avagimov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558376947 PECOS PAC ID: 4385540574 Enrollment ID: I20031209000592 |
| Provider Name | Pooja Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497762355 PECOS PAC ID: 7416927710 Enrollment ID: I20040726001110 |
| Provider Name | James Timothy Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104858059 PECOS PAC ID: 7416916507 Enrollment ID: I20041005000705 |
| Provider Name | Luis M Chaname |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992712830 PECOS PAC ID: 1355398157 Enrollment ID: I20050404001075 |
| Provider Name | Niren A Raval |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093722852 PECOS PAC ID: 6507801347 Enrollment ID: I20050622001134 |
| Provider Name | Deborah E Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437166295 PECOS PAC ID: 6608951033 Enrollment ID: I20080310000634 |
| Provider Name | Aimee M Vercio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720298672 PECOS PAC ID: 4880760263 Enrollment ID: I20080909000353 |
| Provider Name | David A Lanum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689681546 PECOS PAC ID: 1759457286 Enrollment ID: I20081117000630 |
| Provider Name | Rosa M Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154338010 PECOS PAC ID: 4082774310 Enrollment ID: I20081117000647 |
| Provider Name | Edward M Keiderling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457366841 PECOS PAC ID: 6507926839 Enrollment ID: I20081117000673 |
| Provider Name | Febbis Balinos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023269891 PECOS PAC ID: 6103970181 Enrollment ID: I20090811000525 |
| Provider Name | Yen Lai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033110671 PECOS PAC ID: 2062559461 Enrollment ID: I20091016000089 |
| Provider Name | Nancy C Moore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1538361464 PECOS PAC ID: 2961595327 Enrollment ID: I20101006000946 |
| Provider Name | Joachim M Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366677197 PECOS PAC ID: 4385839315 Enrollment ID: I20101116000443 |
| Provider Name | Marianna E Ronay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508089897 PECOS PAC ID: 2062692767 Enrollment ID: I20110214000180 |
| Provider Name | Ramesh Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558478685 PECOS PAC ID: 0345420055 Enrollment ID: I20110214000293 |
| Provider Name | Juan Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770585192 PECOS PAC ID: 7719167428 Enrollment ID: I20110214000383 |
| Provider Name | Nguyen-phuong D Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558516823 PECOS PAC ID: 3779764105 Enrollment ID: I20110218000143 |
| Provider Name | Irene L Belknapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275556706 PECOS PAC ID: 0648453159 Enrollment ID: I20110323000850 |
| Provider Name | Siraj M Mowjood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588988588 PECOS PAC ID: 0042481368 Enrollment ID: I20110919000167 |
| Provider Name | Michael A Tomkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386914778 PECOS PAC ID: 6709049307 Enrollment ID: I20120517000649 |
| Provider Name | Rory A Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356621098 PECOS PAC ID: 3779749064 Enrollment ID: I20120801000424 |
| Provider Name | Paul E Lyons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588652515 PECOS PAC ID: 4082519228 Enrollment ID: I20120816000178 |
| Provider Name | Heather H Bohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043504004 PECOS PAC ID: 1759517493 Enrollment ID: I20131202000866 |
| Provider Name | Zeenath Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881963130 PECOS PAC ID: 2365660370 Enrollment ID: I20140903001983 |
| Provider Name | Eugene Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407129273 PECOS PAC ID: 4284956590 Enrollment ID: I20141121002163 |
| Provider Name | Emily J Robison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417227141 PECOS PAC ID: 3870816812 Enrollment ID: I20141227000034 |
| Provider Name | Mark Laurence Shiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629004478 PECOS PAC ID: 6608882709 Enrollment ID: I20150413001265 |
| Provider Name | Anushree Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043574403 PECOS PAC ID: 5092022814 Enrollment ID: I20150910002985 |
| Provider Name | Maria G Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780947499 PECOS PAC ID: 5890005433 Enrollment ID: I20151110002182 |
| Provider Name | Tracy A Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255630398 PECOS PAC ID: 4789987785 Enrollment ID: I20160126000835 |
| Provider Name | Frances Mcintyre Krel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871932723 PECOS PAC ID: 7517239817 Enrollment ID: I20170822001433 |
| Provider Name | Jennifer L Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255745980 PECOS PAC ID: 5991071839 Enrollment ID: I20171020002938 |
| Provider Name | Leala B Lettice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386023604 PECOS PAC ID: 8527319136 Enrollment ID: I20180920002433 |
| Provider Name | Vivian Khanh Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982125969 PECOS PAC ID: 7416389465 Enrollment ID: I20191113003045 |
| Provider Name | Ali J Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861034282 PECOS PAC ID: 4385071414 Enrollment ID: I20200302000125 |
| Provider Name | Eman M Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548649775 PECOS PAC ID: 4880022045 Enrollment ID: I20200322000205 |
| Provider Name | Sarah S Kin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932514239 PECOS PAC ID: 3173818846 Enrollment ID: I20200325001605 |
| Provider Name | Nancy Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275053688 PECOS PAC ID: 2365867389 Enrollment ID: I20200729000530 |
| Provider Name | Nehemiah S Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821519182 PECOS PAC ID: 7810313780 Enrollment ID: I20200819002165 |
| Provider Name | Patrice D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659781078 PECOS PAC ID: 8729405055 Enrollment ID: I20200901000639 |
| Provider Name | Narges Moaddel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770004012 PECOS PAC ID: 1153733571 Enrollment ID: I20201209000591 |
| Provider Name | Ashley N Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780181289 PECOS PAC ID: 0648674713 Enrollment ID: I20210811002599 |
| Provider Name | Nehal N Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679070098 PECOS PAC ID: 2668861782 Enrollment ID: I20211111000889 |
| Provider Name | Rachel Shira Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669038154 PECOS PAC ID: 5092199406 Enrollment ID: I20220902002864 |
| Provider Name | Christina S Sugirtharaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073135570 PECOS PAC ID: 2163877440 Enrollment ID: I20231005002015 |
John F. Randolph,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 North Pepper Avenue, Colton, CA 92324 Phone: 909-580-1675 Fax: 909-580-1916 | |
Molina Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr Ste 106, Colton, CA 92324 Phone: 909-825-8373 Fax: 909-825-3276 | |
Colton Clinica Medica Familiar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S La Cadena Dr, Colton, CA 92324 Phone: 909-219-5093 Fax: 909-219-5260 | |
Lizarraga Medical Clinic Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 W Valley Blvd, Colton, CA 92324 Phone: 909-824-3389 | |
Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 |