COLTON CLINICA MEDICA FAMILIAR
NPI 1114374071
Family Medicine in Colton, CA
About Colton Clinica Medica Familiar NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLTON CLINICA MEDICA FAMILIAR (NPI 1114374071) is a healthcare organization registered as a family medicine in Colton, California and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Octavio Ruiz-villalpando, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colton Clinica Medica Familiar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Colton Clinica Medica Familiar, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2125280
Colton Clinica Medica Familiar · Colton, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Colton Clinica Medica Familiar A Medical Corporation's NPI number?
The NPI number for Colton Clinica Medica Familiar A Medical Corporation is 1114374071. It was assigned to this organization in the NPPES registry on May 20, 2016. The provider is doing business as Colton Clinica Medica Familiar.
Where is Colton Clinica Medica Familiar A Medical Corporation located?
Colton Clinica Medica Familiar A Medical Corporation is located at 301 S La Cadena Dr, Colton, CA 92324. The listed phone number is (909) 219-5093.
What is Colton Clinica Medica Familiar A Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Colton Clinica Medica Familiar A Medical Corporation enrolled in Medicare?
Yes. Colton Clinica Medica Familiar A Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colton Clinica Medica Familiar A Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Colton Clinica Medica Familiar A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Colton Clinica Medica Familiar A Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2125280) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Colton Clinica Medica Familiar A Medical Corporation was last updated on May 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Colton Clinica Medica Familiar · NPI 1114374071
Family Medicine organization in Colton, California. Organization record, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1114374071 (Entity type: Organization)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Colton Clinica Medica Familiar A Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Octavio Ruiz-Villalpando, OWNER/PRESIDENT
## Practice location
- **Address:** 301 S LA CADENA DR, Colton, CA 92324-3419
- **Phone:** (909) 219-5093 · **Fax:** (909) 219-5260
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2016
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114374071) · Data from the CMS NPPES public registry.