| VK Medical Group Inc | |
|
16359 Brook Ln Fontana CA 92336-6010 | |
| (408) 571-9333 | |
| Not Available |
| Full Name | VK Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16359 Brook Ln, Fontana, California |
| Authorized Official Name and Position | Harikrishna Ambati (MD) |
| Authorized Official Contact | 4085719333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| VK Medical Group Inc 16359 Brook Ln Fontana CA 92336-6010 Ph: (408) 571-9333 | VK Medical Group Inc 16359 Brook Ln Fontana CA 92336-6010 Ph: (408) 571-9333 |
| NPI Number | 1033082011 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Medicare PECOS PAC ID | 4385134170 |
|---|---|
| Medicare Enrollment ID | O20251110001828 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033082011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Harikrishna Ambati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154998730 PECOS PAC ID: 5890168850 Enrollment ID: I20230222002936 |
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