ELITE MEDICAL GROUP OF SOUTHERN CALIFORNIA
NPI 1386424679
Internal Medicine in Rancho Cucamonga, CA

Active since October 03, 2023
8816 FOOTHILL BLVD # 103-338, RANCHO CUCAMONGA, CA 91730(000) 000-0000 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elite Medical Group Of Southern California NPPES

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

ELITE MEDICAL GROUP OF SOUTHERN CALIFORNIA (NPI 1386424679) is a healthcare organization registered as an internal medicine in Rancho Cucamonga, California and active in the NPI registry since October 2023. The organization lists Baker Hillawy, Owner, as its authorized official.

NPPES Registry Identity

NPI1386424679
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE MEDICAL GROUP OF SOUTHERN CALIFORNIA
Location Address8816 FOOTHILL BLVD # 103-338Rancho Cucamonga, CA 91730-7199
Mailing Address8816 Foothill Blvd # 103-338Rancho Cucamonga, CA 91730-7199
Organization SubpartNo
Authorized OfficialBaker HillawyOwner · (774) 444-1004
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1386424679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8816 FOOTHILL BLVD # 103-338, Rancho Cucamonga, CA 91730

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)

Elite Medical Group Of Southern California is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Elite Medical Group Of Southern California, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Internal Medicine7
Hospitalist4
Family Practice2
Sleep Medicine1

Clinicians, nearest first (14)

Internal Medicine
NPI 1871115709
999 SAN BERNARDINO RD
Upland, CA 91786
(909) 985-2811
✔ PECOS✔ Accepts Medicare1.6 mi
Internal Medicine
NPI 1588195424
9635 MONTE VISTA AVE STE 205
Montclair, CA 91763
(909) 621-0009
✔ PECOS✔ Accepts Medicare5.3 mi
Sleep Medicine
NPI 1285262204
4234 RIVERWALK PKWY STE 230
Riverside, CA 92505
(951) 781-3672
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1215209846
3865 JACKSON ST
Riverside, CA 92503
(714) 676-3880
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1972253565
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 786-5350
✔ PECOS✔ Accepts Medicare16 mi
Hospitalist
NPI 1427408749
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 788-3000
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1316441363
4445 MAGNOLIA AVE OFC
Riverside, CA 92501
(951) 788-3000
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1588240469
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 788-3000
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1962031955
350 TERRACINA BLVD
Redlands, CA 92373
(909) 335-5500
✔ PECOS✔ Accepts Medicare24 mi
Hospitalist
NPI 1609315613
2 W FERN AVE
Redlands, CA 92373
(909) 793-3311
✔ PECOS✔ Accepts Medicare25 mi
Family Practice
NPI 1730420399
6557 GREENLEAF AVE
Whittier, CA 90601
(562) 698-0811
✔ PECOS26 mi
Internal Medicine
NPI 1578141941
438 W LAS TUNAS DR
San Gabriel, CA 91776
(626) 289-5454
✔ PECOS✔ Accepts Medicare28 mi
Hospitalist
NPI 1841828423
10666 N TORREY PINES RD
La Jolla, CA 92037
(858) 554-7909
✔ PECOS✔ Accepts Medicare86 mi
Family Practice
NPI 1033775192
1450 TREAT BLVD # 160
Walnut Creek, CA 94597
(925) 296-9000
✔ PECOS✔ Accepts Medicare362 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 Elite Medical Group Of Southern California's NPI number?

The NPI number for Elite Medical Group Of Southern California is 1386424679. It was assigned to this organization in the NPPES registry on October 3, 2023.

Where is Elite Medical Group Of Southern California located?

Elite Medical Group Of Southern California is located at 8816 Foothill Blvd # 103-338, Rancho Cucamonga, CA 91730. The listed phone number is (000) 000-0000.

What is Elite Medical Group Of Southern California's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elite Medical Group Of Southern California enrolled in Medicare?

Yes. Elite Medical Group Of Southern California is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Medical Group Of Southern California?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to Elite Medical Group Of Southern California. 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 Internal Medicine (7), Hospitalist (4) and Family Practice (2). Of these, 2 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 Elite Medical Group Of Southern California was last updated on October 3, 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.