CHANNELL FAMILY MEDICAL GROUP, INC
NPI 1699722744
Family Medicine in Rancho Cucamonga, CA
About Channell Family Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANNELL FAMILY MEDICAL GROUP, INC (NPI 1699722744) is a healthcare organization registered as a family medicine in Rancho Cucamonga, California and active in the NPI registry since May 2006. The organization lists Patricia Guevara-channell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Channell Family Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Channell Family Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Channell Family Medical Group, Inc's NPI number?
The NPI number for Channell Family Medical Group, Inc is 1699722744. It was assigned to this organization in the NPPES registry on May 27, 2006.
Where is Channell Family Medical Group, Inc located?
Channell Family Medical Group, Inc is located at 8008 Haven Ave Suite 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 483-1236.
What is Channell Family Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Channell Family Medical Group, Inc enrolled in Medicare?
Yes. Channell Family Medical Group, Inc is registered in the Medicare PECOS enrollment system.
When is Channell Family Medical Group, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Channell Family Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Channell Family Medical Group, Inc, in Family Practice and Obstetrics/Gynecology. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Channell Family Medical Group, Inc was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Channell Family Medical Group, Inc · NPI 1699722744
Family Medicine organization in Rancho Cucamonga, California. Organization record, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1699722744 (Entity type: Organization)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Patricia Guevara-Channell, OWNER
## Practice location
- **Address:** 8008 HAVEN AVE, SUITE 100, Rancho Cucamonga, CA 91730-3070
- **Phone:** (909) 483-1236 · **Fax:** (909) 483-1463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Obstetrics/Gynecology (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2011
- **Other identifiers:** Medicare PIN DP275A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699722744) · Data from the CMS NPPES public registry.