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CUCAMONGA VALLEY MEDICAL GROUP, INC.
NPI 1497783229
Family Medicine in Fontana, CA

Active since June 29, 2006CLIA Certified · 5 labs
16465 SIERRA LAKES PARKWAY, #300, FONTANA, CA 92336(909) 429-2864(909) 429-2868 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cucamonga Valley Medical Group, Inc. NPPES

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

CUCAMONGA VALLEY MEDICAL GROUP, INC. (NPI 1497783229) is a healthcare organization registered as a family medicine in Fontana, California and active in the NPI registry since June 2006. The organization holds 5 active CLIA laboratory certificates and lists Kyle Nelson Smart, President, as its authorized official.

NPPES Registry Identity

NPI1497783229
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCUCAMONGA VALLEY MEDICAL GROUP, INC.
Location Address16465 SIERRA LAKES PARKWAY, #300Fontana, CA 92336
Mailing Address16465 Sierra Lakes Parkway, #300Fontana, CA 92336 · (909) 429-2864 · Fax (909) 429-2868
Phone(909) 429-2864
Fax(909) 429-2868
Organization SubpartNo
Authorized OfficialKyle Nelson SmartPresident · (909) 429-2864
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 29, 2013
✔ NPI 1497783229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · 858582
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.
16465 SIERRA LAKES PARKWAY, Fontana, CA 92336
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Other Identifiers 1

Medicare PINZZZ02404ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

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 05D2107735

Cucamonga Valley Medical Group Inc · Fontana, CA
Active · expires Jan 20, 2028
CLIA Number05D2107735
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorKyle N. Smart
Laboratory Phone(909) 429-2864
Laboratory LocationCucamonga Valley Medical Group Inc16839 Ramona Ave Ste 401, Fontana, CA 92336
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2098271

Cucamonga Valley Medical Group, Inc · Eastvale, CA
Active · expires Jul 1, 2027
CLIA Number05D2098271
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorKyle N. Smart, Do
Laboratory Phone(909) 429-2864
Laboratory LocationCucamonga Valley Medical Group, Inc12442 Limonite Ave Unit 205, Eastvale, CA 91752
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2165278

Cucamonga Valley Medical Group Chino · Chino, CA
Active · expires Apr 25, 2027
CLIA Number05D2165278
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2025
Certificate Expiration DateApril 25, 2027
Laboratory DirectorKyle N. Smart
Laboratory Phone(909) 429-2864
Laboratory LocationCucamonga Valley Medical Group Chino5562 Philadelphia Street Suite 310, Chino, CA 91710
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0911271

Cucamonga Valley Medical Group · Rancho Cucamonga, CA
Active · expires Mar 20, 2027
CLIA Number05D0911271
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorMuhammad Mowjood
Laboratory Phone(909) 429-2864
Laboratory LocationCucamonga Valley Medical Group7777 B Milliken Ae, #240, 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0564969

Cucamonga Valley Medical Group Inc · Upland, CA
Active · expires Aug 31, 2026
CLIA Number05D0564969
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKyle Smart Do
Laboratory Phone(909) 429-2864
Laboratory LocationCucamonga Valley Medical Group Inc1310 San Bernardino Rd Ste 105, Upland, CA 91786
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

INTERNAL MEDICINE MEDICAL GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
16465 SIERRA LAKES PARKWAY, INTERNAL MEDICINE MEDICAL GROUP SUITE
FONTANA, CA 92336
San Bernardino County (909) 770-8640
CHAPARRAL MEDICAL GROUP INC
Internal Medicine
16465 SIERRA LAKES PARKWAY, SUITE 250 CHAPARRAL MEDICAL GROUP INC
FONTANA, CA 92336
San Bernardino County (909) 770-8640
SIERRA SAN ANTONIO MEDICAL CORPORATION
Family Medicine
16465 SIERRA LAKES PARKWAY, SUITE 100
FONTANA, CA 92336
San Bernardino County (909) 434-1150

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 Cucamonga Valley Medical Group, Inc.'s NPI number?

The NPI number for Cucamonga Valley Medical Group, Inc. is 1497783229. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Cucamonga Valley Medical Group, Inc. located?

Cucamonga Valley Medical Group, Inc. is located at 16465 Sierra Lakes Parkway #300, Fontana, CA 92336. The listed phone number is (909) 429-2864.

What is Cucamonga Valley Medical Group, Inc.'s specialty?

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

Does Cucamonga Valley Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cucamonga Valley Medical Group, Inc. was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.