1. Home
  2. Directory
  3. California
  4. Corona
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRESTPOINT MEDICAL GROUP INC
NPI 1184458408
Family Medicine in Corona, CA

Active since August 28, 2024
1611 POMONA RD # 235, CORONA, CA 92878(909) 757-8668 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Oct 1, 2024, Sep 11, 2024 (3 updates tracked since 2024).

About Crestpoint Medical Group Inc NPPES

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

CRESTPOINT MEDICAL GROUP INC (NPI 1184458408) is a healthcare organization registered as a family medicine in Corona, California and active in the NPI registry since August 2024. The organization lists Anthony Ogugu, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1184458408
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRESTPOINT MEDICAL GROUP INC
Location Address1611 POMONA RD # 235Corona, CA 92878-4324
Mailing Address1611 Pomona Rd # 235Corona, CA 92878-4324
Phone(909) 757-8668
Organization SubpartNo
Authorized OfficialAnthony OguguNurse Practitioner · (909) 757-8668
Enumeration DateAugust 28, 2024
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1184458408 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.
1611 POMONA RD # 235, Corona, CA 92878
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crestpoint Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crestpoint Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Valentine Otuechere, MD., MPH.
Family Practice
NPI 1508896275
8990 GARFIELD ST STE 6
Riverside, CA 92503
(951) 343-1616
✔ PECOS✔ Accepts Medicare9.5 mi
Rodney Ebrahimian, M.D.
Physical Medicine and Rehabilitation
NPI 1295880698
2001 S BARRINGTON AVE STE 305
Los Angeles, CA 90025
(310) 666-8009
✔ PECOS✔ Accepts Medicare50 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Crestpoint Medical Group Inc's NPI number?

The NPI number for Crestpoint Medical Group Inc is 1184458408. It was assigned to this organization in the NPPES registry on August 28, 2024.

Where is Crestpoint Medical Group Inc located?

Crestpoint Medical Group Inc is located at 1611 Pomona Rd # 235, Corona, CA 92878. The listed phone number is (909) 757-8668.

What is Crestpoint Medical Group Inc's specialty?

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

Is Crestpoint Medical Group Inc enrolled in Medicare?

Yes. Crestpoint Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crestpoint Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Crestpoint Medical Group Inc, in Family Practice and Physical Medicine and Rehabilitation. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crestpoint Medical Group Inc was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.