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

John a Fagan MD Family Practice Inc

Organization Primary Care Clinic/Center · NPI 1417130881

John a Fagan MD Family Practice Inc is a Primary Care Clinic/Center in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

10787 Laurel St
Rancho Cucamonga, CA 91730-3828
Phone: (909) 982-7741
Fax: (909) 931-9568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence G060968 (CA)

Record details

NPI number1417130881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fagan — Owner · (909) 982-7741
NPI enumeratedDecember 8, 2007
Last updated in NPPESFebruary 4, 2013
Mailing address10787 Laurel St, Rancho Cucamonga, CA 91730-3828

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