Centrelake Medical Group, Inc.

Home > Centrelake Medical Group, Inc.

NPI Number Detailed Information

Provider Information:

Name:	Centrelake Medical Group, Inc.
Gender:
Provider License Number If Given:	FNP34299

NPI Information:

NPI:	1639137938
Entity Type (Individual or Organization):	2-org
Enumeration Date:	5/3/2006
Last Update Date:	5/24/2021

Provider Business Mailing Address:

Address:	3115 E GUASTI RD Ontario, CA 91761
Phone Number:	9096350411
Fax Number:	9096350441

Provider Business Practice Location Address:

Address:	3115 E GUASTI RD Ontario, CA 91761
Phone Number:	9096350411
Fax Number:	9096350441

Provider Taxonomy:

Primary:	261QM1200X
Secondary (if any):	261QX0203X
State:	CA

Top Doctors in CA

About Centrelake Medical Group, Inc.

Centrelake Medical Group, Inc. ( CENTRELAKE MEDICAL GROUP, INC. ) is Definition Clinic/Center Provider in Ontario, CA. The NPI Number for Centrelake Medical Group, Inc. is 1639137938.

The current location address for Centrelake Medical Group, Inc. is 3115 E GUASTI RD Ontario, CA 91761 and the contact number is 9096350411 and fax number is 9096350441. The mailing address for Centrelake Medical Group, Inc. is 3115 E GUASTI RD Ontario, CA 91761- 9096350411 (mailing address contact number - 9096350411).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Centrelake Medical Group, Inc. ?

Answer: The NPI Number for Centrelake Medical Group, Inc. is 1639137938

Where is Centrelake Medical Group, Inc. located?

Answer: Centrelake Medical Group, Inc. is located at 3115 E GUASTI RD Ontario, CA 91761.

What is the specialty for Centrelake Medical Group, Inc. ?

Answer: The Specialty of Centrelake Medical Group, Inc. is Definition Clinic/Center Provider.

Are there any online reviews for Centrelake Medical Group, Inc. ?

Answer: Not yet!

Are there any other health care providers in Ontario, CA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Centrelake Medical Group, Inc.

Number of HCPCS	130
Number of Medicare Beneficiaries	649
Number of Services	1180
Total Submitted Charge Amount	354050
Total Medicare Allowed Amount	183966.61
Total Medicare Payment Amount	142514.63
Total Medicare Standardized Payment Amount	133180.55
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	2
Number of Medicare Beneficiaries With Drug Services	52
Number of Drug Services	55
Total Drug Submitted Charge Amount	275
Total Drug Medicare Allowed Amount	33.73
Total Drug Medicare Payment Amount	26.73
Total Drug Medicare Standardized Payment Amount	26.32
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	128
Number of Medicare Beneficiaries With Medical	649
Number of Medical Services	1125
Total Medical Submitted Charge Amount	353775
Total Medical Medicare Allowed Amount	183932.88
Total Medical Medicare Payment Amount	142487.9
Total Medical Medicare Standardized Payment Amount	133154.23
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65	118
Number of Beneficiaries Age 65 to 74	327
Number of Beneficiaries Age 75 to 84	146
Number of Beneficiaries Age Greater 84	58
Number of Female Beneficiaries	423
Number of Male Beneficiaries	226
Number of Non-Hispanic White Beneficiaries	204
Number of Black or African American Beneficiaries	48
Number of Asian Pacific Islander Beneficiaries	84
Number of Hispanic Beneficiaries	283
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	30
Number of Beneficiaries With Medicare & Medicaid Entitlement	382
Number of Beneficiaries With Medicare Only Entitlement	267
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.11
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.08
Percent (%) of Beneficiaries Identified With Heart Failure	0.18
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.41
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.08
Percent (%) of Beneficiaries Identified With Depression	0.17
Percent (%) of Beneficiaries Identified With Diabetes	0.46
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.61
Percent (%) of Beneficiaries Identified With Hypertension	0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.32
Percent (%) of Beneficiaries Identified With Osteoporosis	0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.03
Percent (%) of Beneficiaries Identified With Stroke	0.05
Average HCC Risk Score of Beneficiaries	1.3674

More Providers in Ontario , CA

Dr. Lan Thai Dinh
Dentist
NPI Number: 1114976347
Address: 2920 S ARCHIBALD AVE SUITE C Ontario, CA 91761 , Phone: 9099232273

Coram Healthcare Corporation Of Southern California
Home Health Agency
NPI Number: 1740239623
Address: 4355 E LOWELL ST STE C Ontario, CA 91761 , Phone: 9096050010

Mary Lee Whitten
Pediatric Nurse Practitioner
NPI Number: 1497704233
Address: 1501A S BON VIEW AVE Ontario, CA 91761 , Phone: 9096739125

M Zaida Carbajal
General Practice Dentistry
NPI Number: 1194777532
Address: 611 N EUCLID AVE Ontario, CA 91762 , Phone: 9092354148

Dr. Mubashir Ahmad Farooqi
Psychiatry Physician
NPI Number: 1902858194
Address: 855 N EUCLID AVE Ontario, CA 91762 , Phone: 9099832020

Dr. Liana Niculina Tanase
Psychiatry Physician
NPI Number: 1124070560
Address: 855 N EUCLID AVE OFC Ontario, CA 91762 , Phone: 9099832020

Dr. Thomas J Magrann III
Podiatrist
NPI Number: 1407808348
Address: 728 N EUCLID AVE Ontario, CA 91762 , Phone: 9099845614

Dr. Brad A Katzman
Podiatrist
NPI Number: 1275586919
Address: 728 N EUCLID AVE Ontario, CA 91762 , Phone: 9099845614

Dr. Sofia Isabel Padilla
Chiropractor
NPI Number: 1487600243
Address: 203 W G ST Ontario, CA 91762 , Phone: 9099842765

Valley Radiology Medical Group
Diagnostic Radiology Physician
NPI Number: 1740236231
Address: 936 E FRANCIS ST Ontario, CA 91761 , Phone: 9099474885

Assure Healthcare Services. Inc.
Home Health Agency
NPI Number: 1043267206
Address: 2000A S. GROVE AVE SUITE 105 Ontario, CA 91761 , Phone: 9099231886

Ontario Dialysis Center,Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Number: 1770520488
Address: 1001 W 6TH ST Ontario, CA 91762 , Phone: 9099840320

Ruth Chambi - Hernandez
Family Medicine Physician
NPI Number: 1144260118
Address: 517 E HOLT BLVD Ontario, CA 91761 , Phone: 9092973337

Renaissance Radiology Med Grp Inc
Diagnostic Ultrasound Physician
NPI Number: 1316988256
Address: 550 N MONTEREY AVENUE Ontario, CA 91764 , Phone: 9096208180

Healthpointe Medical Group, Inc.
Specialist
NPI Number: 1740221472
Address: 754 N MOUNTAIN AVE Ontario, CA 91762 , Phone: 9094604155

Dr. Teodoro G Diaz III
Family Medicine Physician
NPI Number: 1437190113
Address: 3550 E PHILADELPHIA ST SUITE 150 Ontario, CA 91761 , Phone: 9097730022

Garfield Beach Cvs Llc
Community/Retail Pharmacy
NPI Number: 1225070428
Address: 2456 S GROVE AVE Ontario, CA 91761 , Phone: 9099479390

Dr. Jason Francis Lue
Pediatrics Physician
NPI Number: 1134161011
Address: 2295 S VINEYARD AVE Ontario, CA 91761 , Phone: 3238967893

Garfield Beach Cvs Llc
Community/Retail Pharmacy
NPI Number: 1841234119
Address: 2238 S EUCLID AVE Ontario, CA 91762 , Phone: 9093910263

Healthpointe Medical Group, Inc.
Specialist
NPI Number: 1376579193
Address: 754 N MOUNTAIN AVE Ontario, CA 91762 , Phone: 9094604155

Stewart E Rendon
Surgery Physician
NPI Number: 1922034255
Address: 754 N MOUNTAIN AVE Ontario, CA 91762 , Phone: 9094604155

Dr. Vache Chakmakian
Family Medicine Physician
NPI Number: 1316974652
Address: 437 N EUCLID AVE Ontario, CA 91762 , Phone: 9099882555

Michael Min
General Practice Dentistry
NPI Number: 1043249436
Address: 1921 E 4TH ST Ontario, CA 91764 , Phone: 9099891556

Nawal Kamel
Pediatrics Physician
NPI Number: 1841229655
Address: 1151 E WALNUT ST Ontario, CA 91761 , Phone: 9094670797

Quality Medical Supply
Durable Medical Equipment & Medical Supplies
NPI Number: 1861421596
Address: 124 E F ST STE 7 Ontario, CA 91764 , Phone: 9099834981

Urmila M Patel
Pediatrics Physician
NPI Number: 1669403168
Address: 1151 E WALNUT ST Ontario, CA 91761 , Phone: 9094670797

Rohin B. Talati
Family Medicine Physician
NPI Number: 1861422578
Address: 1650 S EUCLID AVE Ontario, CA 91762 , Phone: 9094670797

Ruben Ruiz M D A Medical Corporation
Specialist
NPI Number: 1043241821
Address: 403 W F ST Ontario, CA 91762 , Phone: 9099883288

California Medical Clinic Inc.
Family Medicine Physician
NPI Number: 1043242142
Address: 402 E HOLT BLVD Ontario, CA 91761 , Phone: 9094671605

Marcus Eugene Harris
Physician Assistant
NPI Number: 1134144876
Address: 2295 S VINEYARD AVE Ontario, CA 91761 , Phone: 8835742273

Dr. Jui-Min Su
Prosthodontist
NPI Number: 1841216561
Address: 4275 E. CONCOURS, SUITE 105 Ontario, CA 91764 , Phone: 9517360876

Gemmel Pharmacy Group, Inc.
Durable Medical Equipment & Medical Supplies
NPI Number: 1346266533
Address: 137 N EUCLID AVE Ontario, CA 91762 , Phone: 9099849112

Dr. Mindy Ho
Chiropractor
NPI Number: 1467478933
Address: 2171 S GROVE AVE SUITE A Ontario, CA 91761 , Phone: 9099234080

Sams West Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1932126273
Address: 951 N MILLIKEN AVE Ontario, CA 91764 , Phone: 9094769083

Dr. Jack I Lee
Dentist
NPI Number: 1518985886
Address: 961 N MILLIKEN AVE STE 103 Ontario, CA 91764 , Phone: 9095817700

Mr. Chong Il Lee
General Practice Dentistry
NPI Number: 1033137773
Address: 1739 S EUCLID AVE SUITE A Ontario, CA 91762 , Phone: 9099839325

Healthpointe Medical Group, Inc
Magnetic Resonance Imaging Radiologic Technologist
NPI Number: 1750303996
Address: 754 N MOUNTAIN AVE Ontario, CA 91762 , Phone: 9094604155

Marie Ann Anger
Physical Therapist
NPI Number: 1457373904
Address: 3200 INLAND EMPIRE BLVD SUITE 100 Ontario, CA 91764 , Phone: 9099453580

Dr. Yan Zhang
Internal Medicine Physician
NPI Number: 1346264660
Address: 653 E E ST STE 107 Ontario, CA 91764 , Phone: 6269910668

Walgreen Co
Durable Medical Equipment & Medical Supplies
NPI Number: 1043225337
Address: 2950 S ARCHIBALD AVE Ontario, CA 91761 , Phone: 9099239934

Dr. Kumtorn Arpawong
Anesthesiology Physician
NPI Number: 1851306401
Address: 1211 W 6TH ST Ontario, CA 91762 , Phone: 9096269922

Dr. Jui-Kuang Lin
Anesthesiology Physician
NPI Number: 1679589816
Address: 1211 W 6TH ST FOUR SEASON SURGERY CENTER Ontario, CA 91762 , Phone: 9096269922

Diamond Anesthesia Consultants
Anesthesiology Physician
NPI Number: 1770598294
Address: 1211 W 6TH ST Ontario, CA 91762 , Phone: 9096269922

Richard L Simpson
Optometrist
NPI Number: 1881600799
Address: 1131 W 6TH ST SUITE 150 Ontario, CA 91762 , Phone: 9099860918

Elizabeth Anne Simpson
Optometrist
NPI Number: 1225044142
Address: 1131 W 6TH ST SUITE 150 Ontario, CA 91762 , Phone: 9099860918

Dr. Nyunt Lwin
Anesthesiology Physician
NPI Number: 1699781187
Address: 1211 W 6TH ST Ontario, CA 91762 , Phone: 9096269922

Manuel G. Figueroa D.D.S., Inc.
General Practice Dentistry
NPI Number: 1356359236
Address: 802 S MOUNTAIN AVE Ontario, CA 91762 , Phone: 8055333524

Malcolm Glen Corp
Hearing Instrument Specialist
NPI Number: 1861400780
Address: 528 NO PALM AVE Ontario, CA 91762 , Phone: 9099869635

Dr. Francisco C Enverga
General Practice Dentistry
NPI Number: 1871502377
Address: 2508 S GROVE AVE Ontario, CA 91761 , Phone: 9099237881

Michelle Anne Duran
Optometrist
NPI Number: 1538178785
Address: 1131 W SIXTH ST STE 150 Ontario, CA 91762 , Phone: 9099860918