COLTON CLINICA MEDICA FAMILIAR - NPI 1114374071 - Family Medicine in Colton, CA

Q: 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.

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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

NPI1114374071

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLTON CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION

Location Address301 S LA CADENA DRColton, CA 92324-3419

Mailing Address301 S La Cadena DrColton, CA 92324-3419 · (909) 219-5093 · Fax (909) 219-5260

Phone(909) 219-5093

Fax(909) 219-5260

Organization SubpartNo

Authorized OfficialOctavio Ruiz-villalpandoOwner/president · (951) 285-4393

Enumeration DateMay 20, 2016

✔ NPI 1114374071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A92039

Definition

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.

301 S LA CADENA DR, Colton, CA 92324

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Other Names 1

Doing Business AsColton Clinica Medica Familiar

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, CA

Active · expires Feb 2, 2027

CLIA Number05D2125280

Laboratory TypePhysician Office

Certificate Effective DateFebruary 3, 2025

Certificate Expiration DateFebruary 2, 2027

Laboratory DirectorOctavio Ruiz-Villalpando

Laboratory Phone(909) 219-5260

Laboratory LocationColton Clinica Medica Familiar301 S La Cadena Dr, Colton, CA 92324

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLU REDDY, MD, INC

Internal Medicine