Goldstar Pediatrics Pc
Pediatrics
Goldstar Pediatrics Pc is a Fontana, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
15290 Summit Ave, Suite B, Fontana, California - 92336-0240. They can be contacted on phone at
909-225-1900.
NPI number (Unique professional ID) for Goldstar Pediatrics Pc is
1427420009 which was assigned by NPPES on 22 Oct, 2015 and it was last updated on 23 Dec, 2021.
Goldstar Pediatrics Pc license number is
FNP544821 for Pediatrics (208000000X) in California.
Goldstar Pediatrics Pc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Goldstar Pediatrics Pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Goldstar Pediatrics Pc |
|---|
Business Address:
Goldstar Pediatrics Pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15290 Summit Ave, Suite B
Fontana, CA, 92336-0240
United States |
|---|
| Phone Number : | 909-225-1900 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427420009 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 22 Oct, 2015 |
|---|
| Last Updated On : | 23 Dec, 2021 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Irmgarduna Tackie |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | PHYSICIAN/CEO |
|---|
| Phone Number : | 909-225-1900 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Goldstar Pediatrics Pc are as mentioned. Primary taxonomy code for Goldstar Pediatrics Pc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | FNP544821 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Goldstar Pediatrics Pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4685141 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | itackie@gold.pcc-direct.com
| No affiliation | HIE
Health Information Exchange (HIE)
|
| 15290 SUMMIT AVE, SUITE B
FONTANA, CA, 92336-0240
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15290 Summit Ave Ste B
Fontana, CA, 92336-0240
United States |
|---|
| Phone Number : | 909-225-1900 |
|---|
Business Location:
Patients can refer following map for directions to
Goldstar Pediatrics Pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.