RANCHO CLINICA MEDICA FAMILIAR
NPI 1326579525
Family Medicine in Ontario, CA

Active since March 21, 2017CLIA 05D2135237 · Waiver
1871 E 4TH ST, ONTARIO, CA 91764(909) 391-0022(909) 391-0026 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Mar 21, 2017 (2 updates tracked since 2017).

About Rancho Clinica Medica Familiar NPPES

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

RANCHO CLINICA MEDICA FAMILIAR (NPI 1326579525) is a healthcare organization registered as a family medicine in Ontario, California and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Leticia Ruiz Decruz, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1326579525
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANCHO PHYSICIANS CHOICE A MEDICAL CORPORATION
Location Address1871 E 4TH STOntario, CA 91764-2601
Mailing Address1871 E 4th StOntario, CA 91764-2601 · (909) 391-0022 · Fax (909) 391-0026
Fax(909) 391-0026
Organization SubpartNo
Authorized OfficialLeticia Ruiz DecruzAuthorized Official · (951) 204-0909
Enumeration DateMarch 21, 2017
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPI 1326579525 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.
1871 E 4TH ST, Ontario, CA 91764

Other Names 1

Doing Business AsRancho Clinica Medica Familiar

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

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 05D2135237

Rancho Clinica Medica Familiar · Ontario, CA
Active · expires Aug 16, 2027
CLIA Number05D2135237
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorAnjana S. Sura, MD
Laboratory Phone(909) 391-0022
Laboratory LocationRancho Clinica Medica Familiar1871 E. 4th St, Ontario, CA 91764
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

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

Family Medicine
1871 E 4TH ST
ONTARIO, CA 91764

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 Rancho Physicians Choice A Medical Corporation's NPI number?

The NPI number for Rancho Physicians Choice A Medical Corporation is 1326579525. It was assigned to this organization in the NPPES registry on March 21, 2017. The provider is doing business as Rancho Clinica Medica Familiar.

Where is Rancho Physicians Choice A Medical Corporation located?

Rancho Physicians Choice A Medical Corporation is located at 1871 E 4th St, Ontario, CA 91764. The listed phone number is (909) 391-0022.

What is Rancho Physicians Choice A Medical Corporation's specialty?

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

Does Rancho Physicians Choice A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2135237) is associated with this NPI, valid through August 16, 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 Rancho Physicians Choice A Medical Corporation was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.