CUCAMONGA VALLEY MEDICAL GROUP, INC.
NPI 1497783229
Family Medicine in Fontana, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cucamonga Valley Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Cucamonga Valley Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Fontana, CA 92336
Fontana, CA 92336
Fontana, CA 92336
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 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 05D1051702
Cucamonga Valley Medical Group Inc · Fontana, CACertificate of Waiver 05D2107735
Cucamonga Valley Medical Group Inc · Fontana, CACertificate of Waiver 05D2098271
Cucamonga Valley Medical Group, Inc · Eastvale, CACertificate of Waiver 05D2165278
Cucamonga Valley Medical Group Chino · Chino, CACertificate of Waiver 05D0911271
Cucamonga Valley Medical Group · Rancho Cucamonga, CAFrequently 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.
Is Cucamonga Valley Medical Group, Inc. enrolled in Medicare?
Yes. Cucamonga Valley Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cucamonga Valley Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Cucamonga Valley 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 (10), Family Practice (6) and Internal Medicine (1). Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Cucamonga Valley Medical Group, Inc. · NPI 1497783229
Family Medicine organization in Fontana, California. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1497783229 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Smart, PRESIDENT
## Practice location
- **Address:** 16465 SIERRA LAKES PARKWAY, #300, Fontana, CA 92336
- **Phone:** (909) 429-2864 · **Fax:** (909) 429-2868
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (6), Internal Medicine (1); 8 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2026
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497783229) · Data from the CMS NPPES public registry.