SAN SEBASTIAN FAMILY MEDICAL GROUP, INC.
NPI 1629257191
General Practice in Fontana, CA

Active since October 31, 2007CLIA 05D1014373 · Waiver
9717 SIERRA AVE, FONTANA, CA 92335(909) 822-3400(909) 886-8881 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Sebastian Family Medical Group, Inc. NPPES

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

SAN SEBASTIAN FAMILY MEDICAL GROUP, INC. (NPI 1629257191) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Eduardo Santos Uy, President, as its authorized official.

NPPES Registry Identity

NPI1629257191
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEDUARDO SANTOS UY MD INC
Location Address9717 SIERRA AVEFontana, CA 92335-6716
Mailing Address9717 Sierra AveFontana, CA 92335-6716 · (909) 822-3400 · Fax (909) 886-8881
Fax(909) 886-8881
Organization SubpartNo
Authorized OfficialEduardo Santos UyPresident · (909) 886-8888
Enumeration DateOctober 31, 2007
Last NPPES UpdateFebruary 28, 2013
NPI 1629257191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPediatricsTaxonomy 208000000X
9717 SIERRA AVE, Fontana, CA 92335

Other Names 1

Other NameSan Sebastian Family Medical Group, Inc.

Other Identifiers 3

Medicare UPINY02400CA
Medicaid00A530160CA
Medicare PINZZZ28808ZCA

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 MULTIPLE SINGLE SPECIALTY GROUP

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 05D1014373

Eduardo Santos Uy MD Inc · Fontana, CA
Active · expires Jul 1, 2027
CLIA Number05D1014373
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorEduardo S. Uy MD
Laboratory Phone(909) 822-3400
Laboratory LocationEduardo Santos Uy MD Inc9717 Sierra Avenue, Fontana, CA 92335
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Physician Assistant
9717 SIERRA AVE
FONTANA, CA 92335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629257191, enumerated as an "organization" on October 31, 2007.

The provider is located at 9717 SIERRA AVE FONTANA, CA 92335 and the phone number is (909) 822-3400.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.