Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Central Occupational Medicine Providers - Ontario, a Medical Corporati

Organization Family Medicine Physician · NPI 1104184860

Central Occupational Medicine Providers - Ontario, a Medical Corporati provides Family Medicine Physician services in Moreno Valley, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
8
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Practice location Address checks out

13800 Heacock St Ste C136
Moreno Valley, CA 92553-3339 Not confirmed with CMS for 11 years — call before visiting
Phone: (951) 656-6009
Fax: (951) 656-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Clinic/Center (primary) Taxonomy 261QX0100X
Family Medicine Physician Taxonomy 207Q00000X · Licence A48324 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A43039 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A5982 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 48512 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G70519 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 20A9190 (CA)
General Practice Physician Taxonomy 208D00000X · Licence G72529 (CA)

Record details

NPI number1104184860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Speer — Administrator · (951) 222-2206
Other names Comp
NPI enumeratedMay 1, 2012
Last updated in NPPESApril 14, 2015
Mailing address4300 Central Ave, Riverside, CA 92506-2918

Other providers in Moreno Valley