OPTUM
NPI 1376876912
Family Medicine in Fontana, CA

Active since September 15, 2009
8110 MANGO AVE, FONTANA, CA 92335(909) 427-1303 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2023, Apr 9, 2018 (2 updates tracked since 2018).

About Optum NPPES

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

OPTUM (NPI 1376876912) is a healthcare organization registered as a family medicine in Fontana, California and active in the NPI registry since September 2009. The organization lists Charles S Sabbah, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1376876912
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePINNACLE MEDICAL GROUP, INC
Location Address8110 MANGO AVEFontana, CA 92335-3603
Mailing AddressP.o. Box 12209San Bernardino, CA 92424-2209 · (909) 357-1595 · Fax (909) 357-1203
Organization SubpartNo
Authorized OfficialCharles S SabbahMedical Director · (909) 357-1595
Enumeration DateSeptember 15, 2009
Last NPPES UpdateApril 4, 20232 updates tracked since enumeration
NPPES CertifiedApril 4, 2023
✔ NPI 1376876912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
8110 MANGO AVE, Fontana, CA 92335

Other Names 1

Doing Business AsOptum

Other Identifiers 1

OtherZZZ14739ZCA · Medicare Id Ptan

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

149

Medicare enrollment records show 149 clinicians reassign Medicare billing to Optum, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner38
Diagnostic Radiology31
Internal Medicine29
Family Practice20
Pediatric Medicine15
Rheumatology3
Dermatology2
Interventional Radiology2
8 other specialties9

Nearest to this location (20)

See all 149
Nurse Practitioner
NPI 1265893317
8110 MANGO AVENUE
Fontana, CA 92335
(909) 427-1303
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1144466780
8110 MANGO AVE
Fontana, CA 92335
(909) 427-1303
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1801829528
8110 MANGO AVE
Fontana, CA 92335
(909) 822-1164
✔ PECOSSame address
Internal Medicine
NPI 1427018456
8110 MANGO AVE SUITE 104
Fontana, CA 92335
(909) 822-1164
✔ PECOSSame address
Nurse Practitioner
NPI 1477959161
8110 MANGO AVE
Fontana, CA 92335
(909) 427-1303
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033313663
8110 MANGO AVE
Fontana, CA 92335
(909) 854-0430
✔ PECOSSame address
Pediatric Medicine
NPI 1275708760
8110 MANGO AVE
Fontana, CA 92335
(909) 427-1303
✔ PECOSSame address
Pediatric Medicine
NPI 1447742333
8110 MANGO AVE STE 104
Fontana, CA 92335
(909) 427-1303
✔ PECOSSame address
Pediatric Medicine
NPI 1295781946
16655 FOOTHILL BLVD SUITE 100
Fontana, CA 92335
(909) 427-1303
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1245008028
17051 SIERRA LAKES PKWY # 103
Fontana, CA 92336
(909) 770-1000
✔ PECOS✔ Accepts Medicare2.2 mi
Family Practice
NPI 1558317933
1850 N RIVERSIDE AVE #240
Rialto, CA 92376
(909) 421-2700
✔ PECOS4.0 mi
Pediatric Medicine
NPI 1447206073
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 466-6576
✔ PECOS4.1 mi
Family Practice
NPI 1861454993
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 421-2700
✔ PECOS✔ Accepts Medicare4.1 mi
Family Practice
NPI 1083029425
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 874-2371
✔ PECOS✔ Accepts Medicare4.1 mi
Internal Medicine
NPI 1588689350
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 421-2700
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1043061971
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 421-2700
✔ PECOS✔ Accepts Medicare4.1 mi
General Practice
NPI 1265491765
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 874-2371
✔ PECOS✔ Accepts Medicare4.1 mi
Pediatric Medicine
NPI 1467411058
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 871-2371
✔ PECOS4.1 mi
Nurse Practitioner
NPI 1750024816
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 421-2700
✔ PECOS4.1 mi
Internal Medicine
NPI 1467491118
1851 N RIVERSIDE AVE
Rialto, CA 92376
(909) 874-2371
✔ PECOS✔ Accepts Medicare4.1 mi
See all 149 clinicians

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 Pinnacle Medical Group, Inc's NPI number?

The NPI number for Pinnacle Medical Group, Inc is 1376876912. It was assigned to this organization in the NPPES registry on September 15, 2009. The provider is doing business as Optum.

Where is Pinnacle Medical Group, Inc located?

Pinnacle Medical Group, Inc is located at 8110 Mango Ave, Fontana, CA 92335. The listed phone number is (909) 427-1303.

What is Pinnacle Medical Group, Inc's specialty?

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

Is Pinnacle Medical Group, Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Pinnacle Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 16 Medicare specialties reassign their Medicare billing to Pinnacle Medical Group, Inc. 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. The largest specialties are Nurse Practitioner (38), Diagnostic Radiology (31) and Internal Medicine (29). Of these, 8 practice at this address and 51 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 Pinnacle Medical Group, Inc was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.