OPTUM
NPI 1942482021
Family Medicine in Redlands, CA

Active since November 30, 2007
1520 BARTON RD, REDLANDS, CA 92373(909) 793-3208 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Optum NPPES

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

OPTUM (NPI 1942482021) is a healthcare organization registered as a family medicine in Redlands, California and active in the NPI registry since November 2007. The organization lists Ashley Grim, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1942482021
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREDLANDS FAMILY PRACTICE MEDICAL GROUP INC.
Location Address1520 BARTON RDRedlands, CA 92373-5467
Mailing Address1520 Barton RdRedlands, CA 92373-5467 · (909) 793-3208
Organization SubpartYesParent: Redlands Family Practice Medical Group Inc
Authorized OfficialAshley GrimPractice Administrator · (909) 793-3208
Enumeration DateNovember 30, 2007
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1942482021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 BARTON RD, Redlands, CA 92373

Other Names 1

Doing Business AsOptum

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Optum, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Family Practice12
Nurse Practitioner6
Internal Medicine5
Cardiovascular Disease (Cardiology)2
Diagnostic Radiology1
Obstetrics/Gynecology1
Pulmonary Disease1
Rheumatology1

Nearest to this location (20)

See all 29
Nurse Practitioner
NPI 1558909226
2 W FERN AVE
Redlands, CA 92373
(909) 335-4102
✔ PECOS✔ Accepts Medicare1.9 mi
Family Practice
NPI 1669575874
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1497725261
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1689019200
1700 N WATERMAN AVE
San Bernardino, CA 92404
(702) 579-3203
✔ PECOS✔ Accepts Medicare7.1 mi
Internal Medicine
NPI 1033312202
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1932135076
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS7.1 mi
Rheumatology
NPI 1720058415
1700 NORTH WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Cardiovascular Disease (Cardiology)
NPI 1972573756
1700 NORTH WATERMAN AVENUE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1699745471
1700 NORTH WATERMAN AVENUE
San Bernandino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1306896691
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Family Practice
NPI 1275544892
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1538819347
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS7.1 mi
Family Practice
NPI 1033189568
1700 NORTH WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Pulmonary Disease
NPI 1588634059
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS7.1 mi
Internal Medicine
NPI 1578533253
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS7.1 mi
Internal Medicine
NPI 1619471091
1700 N WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS✔ Accepts Medicare7.1 mi
Cardiovascular Disease (Cardiology)
NPI 1619947306
1700 NORTH WATERMAN AVE
San Bernardino, CA 92404
(909) 883-8611
✔ PECOS7.1 mi
Internal Medicine
NPI 1902876683
2015 N WATERMAN AVE STE A
San Bernardino, CA 92404
(909) 557-0135
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1568005833
1800 WESTERN AVE STE 305
San Bernardino, CA 92411
(909) 880-9993
✔ PECOS8.6 mi
Nurse Practitioner
NPI 1336895580
14329 FREDERICK ST STE B
Moreno Valley, CA 92553
(951) 598-0727
✔ PECOS✔ Accepts Medicare9.7 mi
See all 29 clinicians

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 Redlands Family Practice Medical Group Inc.'s NPI number?

The NPI number for Redlands Family Practice Medical Group Inc. is 1942482021. It was assigned to this organization in the NPPES registry on November 30, 2007. The provider is doing business as Optum.

Where is Redlands Family Practice Medical Group Inc. located?

Redlands Family Practice Medical Group Inc. is located at 1520 Barton Rd, Redlands, CA 92373. The listed phone number is (909) 793-3208.

What is Redlands Family Practice Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Redlands Family Practice Medical Group Inc. enrolled in Medicare?

Yes. Redlands Family Practice Medical Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Redlands Family Practice Medical Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 8 Medicare specialties reassign their Medicare billing to Redlands Family Practice Medical Group Inc.. 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. The largest specialties are Family Practice (12), Nurse Practitioner (6) and Internal Medicine (5). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Redlands Family Practice Medical Group Inc. was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.