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FONTANA CLINICA MEDICA FAMILIAR
NPI 1174621585
Family Medicine in Fontana, CA

Active since September 20, 2006CLIA 05D0981384 · Waiver
17695 ARROW BLVD, FONTANA, CA 92335(909) 854-3790(909) 854-3792 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fontana Clinica Medica Familiar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FONTANA CLINICA MEDICA FAMILIAR (NPI 1174621585) is a healthcare organization registered as a family medicine in Fontana, California and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Octavio Ruiz-villalpando, Medical Director/ Owner, as its authorized official.

NPPES Registry Identity

NPI1174621585
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFONTANA PHYSICIANS ASSOCIATES A MEDICAL CORPORATION
Location Address17695 ARROW BLVDFontana, CA 92335-4041
Mailing Address17695 Arrow BlvdFontana, CA 92335-4041 · (909) 854-3790 · Fax (909) 854-3792
Phone(909) 854-3790
Fax(909) 854-3792
Organization SubpartNo
Authorized OfficialOctavio Ruiz-villalpandoMedical Director/ Owner · (909) 854-3790
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1174621585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
17695 ARROW BLVD, Fontana, CA 92335
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Other Names 1

Doing Business AsFontana Clinica Medica Familiar

Other Identifiers 1

Medicare PINZZZ14665ZCA

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 05D0981384

Fontana Clinica Medica Familiar · Fontana, CA
Active · expires Jun 13, 2028
CLIA Number05D0981384
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorOctavio Ruiz-Villalpando
Laboratory Phone(909) 854-3790
Laboratory LocationFontana Clinica Medica Familiar17695 Arrow Blvd, Fontana, CA 92335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Clinic/Center (Federally Qualified Health Center (FQHC))
17695 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (310) 962-8970
AMPARO FUENTES
Community Health Worker
17695 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 854-3790
MARIBEL M JIMENEZ
Community Health Worker
17695 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (714) 476-0680
JOHANNA VERDUZCO LVN
Licensed Practical Nurse
17695 ARROW BLVD
FONTANA, CA 92335
San Bernardino County (909) 854-3790
MR. VICTOR RAMIREZ PHYSICIANS ASSISTANT
Physician Assistant
17695 ARROW BLVD, CLINICA MEDICA FAMILIAR
FONTANA, CA 92335
San Bernardino County (909) 854-3790

Frequently 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 Fontana Physicians Associates A Medical Corporation's NPI number?

The NPI number for Fontana Physicians Associates A Medical Corporation is 1174621585. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Fontana Clinica Medica Familiar.

Where is Fontana Physicians Associates A Medical Corporation located?

Fontana Physicians Associates A Medical Corporation is located at 17695 Arrow Blvd, Fontana, CA 92335. The listed phone number is (909) 854-3790.

What is Fontana Physicians Associates A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Fontana Physicians Associates A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0981384) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fontana Physicians Associates A Medical Corporation was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.