MOLINA FONTANA
NPI 1912394255
Non-Pharmacy Dispensing Site in Fontana, CA

Q: What is Joseph M Molina MD Professional Corporation Southern California's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since April 24, 2015

17500 FOOTHILL BLVD, SUITE A2, FONTANA, CA 92335(909) 428-0170 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Molina Fontana NPPES

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

MOLINA FONTANA (NPI 1912394255) is a healthcare organization registered as a non-pharmacy dispensing site in Fontana, California and active in the NPI registry since April 2015. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1912394255

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameJOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA

Location Address17500 FOOTHILL BLVD, SUITE A2Fontana, CA 92335-3736

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(909) 428-0170

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateApril 24, 2015

✔ NPI 1912394255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · G45659

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

17500 FOOTHILL BLVD, Fontana, CA 92335

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Other Names 1

Doing Business AsMolina Fontana

Other Providers at the Same Location NPPES 6

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

LAURA Y. JIMENEZ, DDS PROF. DENTAL CORP

Dentist

17500 FOOTHILL BLVD
FONTANA, CA 92335

San Bernardino County (909) 357-7000

ARLENE RODRIGUEZ

Nurse Practitioner

17500 FOOTHILL BLVD
FONTANA, CA 92335

San Bernardino County (909) 428-0170

DR. JENNIFER JOSEPHINE D'SA MD

Family Medicine

17500 FOOTHILL BLVD, #A-2
FONTANA, CA 92335

San Bernardino County (909) 428-0170

DR. ENRICO A MELSON MD

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

17500 FOOTHILL BLVD, SUITE A-2
FONTANA, CA 92335

San Bernardino County (909) 428-0170

LANNIE MOY PA-C

Family Medicine

17500 FOOTHILL BLVD, #A-2
FONTANA, CA 92335

San Bernardino County (909) 428-0171

JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA

Family Medicine

17500 FOOTHILL BLVD, #A-2
FONTANA, CA 92335

San Bernardino County (909) 428-0170

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 Joseph M Molina MD Professional Corporation Southern California's NPI number?

The NPI number for Joseph M Molina MD Professional Corporation Southern California is 1912394255. It was assigned to this organization in the NPPES registry on April 24, 2015. The provider is doing business as Molina Fontana.

Where is Joseph M Molina MD Professional Corporation Southern California located?

Joseph M Molina MD Professional Corporation Southern California is located at 17500 Foothill Blvd Suite A2, Fontana, CA 92335. The listed phone number is (909) 428-0170.

What is Joseph M Molina MD Professional Corporation Southern California's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Joseph M Molina MD Professional Corporation Southern California was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.