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CROWN CITY MEDICAL GROUP
NPI 1649602384
Pediatrics in San Bernardino, CA

Active since August 05, 2013
1800 N WESTERN AVE, SUITE 403, SAN BERNARDINO, CA 92411(909) 887-3087(909) 887-2974 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crown City Medical Group NPPES

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

CROWN CITY MEDICAL GROUP (NPI 1649602384) is a healthcare organization registered as a pediatrics in San Bernardino, California and active in the NPI registry since August 2013. The organization lists Maureen B Tyson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1649602384
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCROWN CITY MEDICAL GROUP
Location Address1800 N WESTERN AVE, SUITE 403San Bernardino, CA 92411
Mailing Address2589 E Washington BlvdPasadena, CA 91107-1446 · (626) 798-8792 · Fax (626) 296-1403
Phone(909) 887-3087
Fax(909) 887-2974
Organization SubpartNo
Authorized OfficialMaureen B TysonChief Executive Officer · (626) 798-8792
Enumeration DateAugust 5, 2013
✔ NPI 1649602384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
1800 N WESTERN AVE, San Bernardino, CA 92411
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

WILSON GOMER MD
Internal Medicine
1800 N WESTERN AVE, #103
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-7427

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 Crown City Medical Group's NPI number?

The NPI number for Crown City Medical Group is 1649602384. It was assigned to this organization in the NPPES registry on August 5, 2013.

Where is Crown City Medical Group located?

Crown City Medical Group is located at 1800 N Western Ave Suite 403, San Bernardino, CA 92411. The listed phone number is (909) 887-3087.

What is Crown City Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Crown City Medical Group was last updated on August 5, 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.