ARROWHEAD COMMUNITY SURGICAL MEDICAL GROUP, INC.
NPI 1245388032
Oral & Maxillofacial Surgery in Colton, CA

Q: What is Arrowhead Community Surgical Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Active since January 08, 2007

400 N PEPPER AVE, SURGERY DEPARTMENT, COLTON, CA 92324(909) 580-6210(909) 580-1363 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Arrowhead Community Surgical Medical Group, Inc. NPPES

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

ARROWHEAD COMMUNITY SURGICAL MEDICAL GROUP, INC. (NPI 1245388032) is a healthcare organization registered as an oral & maxillofacial surgery in Colton, California and active in the NPI registry since January 2007. The organization lists Appanagari Gnanadev, President, as its authorized official.

NPPES Registry Identity

NPI1245388032

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameARROWHEAD COMMUNITY SURGICAL MEDICAL GROUP, INC.

Location Address400 N PEPPER AVE, SURGERY DEPARTMENTColton, CA 92324-1801

Mailing AddressPo Box 670Redlands, CA 92373-0221 · (909) 580-6210 · Fax (909) 580-1363

Phone(909) 580-6210

Fax(909) 580-1363

Organization SubpartNo

Authorized OfficialAppanagari GnanadevPresident · (909) 580-6210

Enumeration DateJanuary 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1245388032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in CA · 51201

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

400 N PEPPER AVE, Colton, CA 92324

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Other Identifiers 2

MedicaidGR0079700CA

Medicaid00SP18300CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CATHERINE J CALHOUN

Licensed Psychiatric Technician