Formula Medical Group A Professional Medical Corporation
NPI 1710905690ActiveOrganization· Family Medicine· Apple Valley, CA
Family Medicine in Apple Valley, California, registered in NPPES in July 2006. The authorized official on file is James Krider, M.D, Doctor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710905690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | May 14, 2020 |
| Certified by provider | May 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | G48897 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Family Medicine providers in Apple Valley
- 1164596896
- 1073647269
- 1518494541
- 1023161635
- 1790875466
- 1972109551
- 1366518243
- 1265123749
- 1285116848
- 1356309504
- 1912056177
- 1881652030