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

Formula Medical Group a Professional Medical Corporation

Organization Family Medicine Physician · NPI 1710905690

Formula Medical Group a Professional Medical Corporation is a Family Medicine Physician in Apple Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

18182 US Highway 18 Ste 105
Apple Valley, CA 92307-2200
Phone: (760) 242-1234
Fax: (760) 242-5527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G48897 (CA)

Record details

NPI number1710905690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Krider — Doctor · (760) 242-1234
NPI enumeratedJuly 18, 2006
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020
Mailing address18182 Us Highway 18, Suite 105, Apple Valley, CA 92307-2200

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