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MAYFLOWER MEDICAL GROUP, INC.
NPI 1770050353
Pediatrics in Rialto, CA

Active since October 31, 2018CLIA 05D1011113 · Waiver
1850 N RIVERSIDE AVE STE 210, RIALTO, CA 92376(909) 562-0067(626) 562-0067 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 17, 2019, Oct 31, 2018 (2 updates tracked since 2018).

About Mayflower Medical Group, Inc. NPPES

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

MAYFLOWER MEDICAL GROUP, INC. (NPI 1770050353) is a healthcare organization registered as a pediatrics in Rialto, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Araceli Fuentes Hernandez, Contracts Manager, as its authorized official.

NPPES Registry Identity

NPI1770050353
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMAYFLOWER MEDICAL GROUP, INC.
Location Address1850 N RIVERSIDE AVE STE 210Rialto, CA 92376-8082
Mailing Address1850 N Riverside Ave Ste 210Rialto, CA 92376-8082
Phone(909) 562-0067
Fax(626) 562-0067
Organization SubpartNo
Authorized OfficialAraceli Fuentes HernandezContracts Manager · (626) 800-1200
Enumeration DateOctober 31, 2018
Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration
✔ NPI 1770050353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1850 N RIVERSIDE AVE STE 210, Rialto, CA 92376
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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

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 05D1011113

Mayflower Medical Group · Rialto, CA
Active · expires Mar 31, 2027
CLIA Number05D1011113
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorDelfin L. Dano MD
Laboratory Phone(909) 562-0012
Laboratory LocationMayflower Medical Group1850 N Riverside Ave #210, Rialto, CA 92376
CLIA data matches this NPI record on: Name
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.

NICOLE SHARINA LAXAMANA GABUYA NP
Nurse Practitioner (Family)
1850 N RIVERSIDE AVE STE 210
RIALTO, CA 92376
San Bernardino County (424) 744-6781

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 Mayflower Medical Group, Inc.'s NPI number?

The NPI number for Mayflower Medical Group, Inc. is 1770050353. It was assigned to this organization in the NPPES registry on October 31, 2018.

Where is Mayflower Medical Group, Inc. located?

Mayflower Medical Group, Inc. is located at 1850 N Riverside Ave Ste 210, Rialto, CA 92376. The listed phone number is (909) 562-0067.

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

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

Does Mayflower Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1011113) is associated with this NPI, valid through March 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mayflower Medical Group, Inc. was last updated on January 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.