SPLINTER MEDICAL GROUP, INC.
NPI 1629053723
Family Medicine in San Dimas, CA

Q: What is Splinter Medical Group, Inc.'s NPI number?

The NPI number for Splinter Medical Group, Inc. is 1629053723. It was assigned to this organization in the NPPES registry on December 12, 2005.

Q: What is Splinter Medical Group, Inc.'s specialty?

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

Active since December 12, 2005

1334 W COVINA BLVD, #103, SAN DIMAS, CA 91773(909) 394-9090(909) 394-9696 Get Directions Write a Review

NPPES record last updated: May 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Splinter Medical Group, Inc. NPPES

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

SPLINTER MEDICAL GROUP, INC. (NPI 1629053723) is a healthcare organization registered as a family medicine in San Dimas, California and active in the NPI registry since December 2005. The organization lists William Pevsner, President/physician, as its authorized official.

NPPES Registry Identity

NPI1629053723

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSPLINTER MEDICAL GROUP, INC.

Location Address1334 W COVINA BLVD, #103San Dimas, CA 91773-3211

Mailing Address1334 W Covina Blvd, #103San Dimas, CA 91773-3211 · (909) 394-9090 · Fax (909) 394-9696

Phone(909) 394-9090

Fax(909) 394-9696

Organization SubpartNo

Authorized OfficialWilliam PevsnerPresident/physician · (909) 394-9090

Enumeration DateDecember 12, 2005

Last NPPES UpdateMay 11, 2018

✔ NPI 1629053723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A5383

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.

1334 W COVINA BLVD, San Dimas, CA 91773

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Splinter Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

William Pevsner, D.O.

Family Practice

NPI 1679758171

1334 W COVINA BLVD STE 103
San Dimas, CA 91773

(909) 394-9090

✔ PECOS✔ Accepts MedicareSame address

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 Splinter Medical Group, Inc.'s NPI number?

The NPI number for Splinter Medical Group, Inc. is 1629053723. It was assigned to this organization in the NPPES registry on December 12, 2005.

Where is Splinter Medical Group, Inc. located?

Splinter Medical Group, Inc. is located at 1334 W Covina Blvd #103, San Dimas, CA 91773. The listed phone number is (909) 394-9090.

What is Splinter Medical Group, Inc.'s specialty?

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

Is Splinter Medical Group, Inc. enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Splinter 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Splinter Medical Group, Inc. was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.