Cucamonga Valley Medical Group, Inc.
NPI 1497783229ActiveOrganization· Family Medicine· Fontana, CA
Family Medicine in Fontana, California, registered in NPPES in June 2006. The authorized official on file is Kyle Nelson Smart, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497783229 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2006 |
| Last updated in NPPES | Oct 21, 2026 |
| Certified by provider | Oct 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 858582 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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