Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OUR FAMILY MEDICAL GROUP, INC.
NPI 1437601879
Internal Medicine in Rancho Cucamonga, CA

Active since November 02, 2016CLIA 05D2141990 · Waiver
9190 HAVEN AVE STE 102, RANCHO CUCAMONGA, CA 91730(909) 981-0989(909) 949-6214 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Nov 13, 2025, Mar 5, 2025 and 5 more (8 updates tracked since 2016).

About Our Family Medical Group, Inc. NPPES

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

OUR FAMILY MEDICAL GROUP, INC. (NPI 1437601879) is a healthcare organization registered as an internal medicine in Rancho Cucamonga, California and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through December 27, 2027, maintains 3 additional practice locations, and lists Ewa H Konca, Physician, as its authorized official.

NPPES Registry Identity

NPI1437601879
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOUR FAMILY MEDICAL GROUP, INC.
Location Address9190 HAVEN AVE STE 102Rancho Cucamonga, CA 91730-5431
Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-0128
Fax(909) 949-6214
Organization SubpartNo
Authorized OfficialEwa H KoncaPhysician · (909) 981-0989
Enumeration DateNovember 2, 2016
Last NPPES UpdateOctober 15, 20268 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1437601879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
9190 HAVEN AVE STE 102, Rancho Cucamonga, CA 91730

Secondary Practice Locations 3

Location 11131 W 6th St Ste 150Ontario, CA 91762-1116 · Phone (909) 482-4462
Location 21798 N Garey AvePomona, CA 91767-2918 · Phone (909) 236-7994
Location 35475 Walnut Ave Ste HChino, CA 91710-2609 · Phone (909) 591-6446 · Fax (909) 591-1309

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Our Family Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Internal Medicine
NPI 1093028078
9190 HAVEN AVE STE 102
Rancho Cucamonga, CA 91730
(909) 981-0989
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1700230224
9140 HAVEN AVE STE 112
Rancho Cucamonga, CA 91730
(909) 296-7800
✔ PECOS0.1 mi
Family Practice
NPI 1669049391
1131 W 6TH ST STE 150
Ontario, CA 91762
(909) 482-4462
✔ PECOS✔ Accepts Medicare5.5 mi
Internal Medicine
NPI 1093720666
1131 W 6TH ST STE 150
Ontario, CA 91762
(909) 482-4462
✔ PECOS✔ Accepts Medicare5.5 mi
1131 W 6TH ST STE 150
Ontario, CA 91762
(909) 482-4462
✔ PECOS✔ Accepts Medicare5.5 mi
Internal Medicine
NPI 1124681580
12611 9TH ST STE A
Chino, CA 91710
(909) 331-4473
✔ PECOS✔ Accepts Medicare7.7 mi
Endocrinology
NPI 1134197528
1880 N ORANGE GROVE AVE
Pomona, CA 91767
(909) 620-7200
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1982342812
118 W FOOTHILL BLVD
Glendora, CA 91741
(626) 963-2816
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1225875834
1250 16TH ST
Santa Monica, CA 90404
(310) 825-9111
✔ PECOS✔ Accepts Medicare52 mi

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

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 05D2141990

Our Family Medical Group, Inc · Rancho Cucamonga, CA
Active · expires Dec 27, 2027
CLIA Number05D2141990
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorHetalben Makwana, MD
Laboratory Phone(909) 398-1550
Laboratory LocationOur Family Medical Group, Inc9190 Haven Ave 102, Rancho Cucamonga, CA 91730
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Our Family Medical Group, Inc.'s NPI number?

The NPI number for Our Family Medical Group, Inc. is 1437601879. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is Our Family Medical Group, Inc. located?

Our Family Medical Group, Inc. is located at 9190 Haven Ave Ste 102, Rancho Cucamonga, CA 91730. The listed phone number is (909) 981-0989.

What is Our Family Medical Group, Inc.'s specialty?

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

Is Our Family Medical Group, Inc. enrolled in Medicare?

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

How many clinicians bill Medicare through Our Family Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Our Family 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 Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Our Family Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2141990) is associated with this NPI, valid through December 27, 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 Our Family Medical Group, Inc. was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.