Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cucamonga Valley Medical Group, Inc

Organization Family Medicine Physician · NPI 1497783229

Cucamonga Valley Medical Group, Inc provides Family Medicine Physician services in Fontana, California. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16465 Sierra Lakes Pkwy #300
Fontana, CA 92336 Not confirmed with CMS for 13 years — call before visiting
Phone: (909) 429-2864
Fax: (909) 429-2868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 858582 (ME)

Record details

NPI number1497783229
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Smart — President · (909) 429-2864
NPI enumeratedJune 29, 2006
Last updated in NPPESApril 29, 2013
Mailing address16465 Sierra Lakes Parkway, 300, Fontana, CA 92336

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