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

Via Verde Medical Group, Inc

Organization Family Medicine Physician · NPI 1639109713

Via Verde Medical Group, Inc is a Family Medicine Physician in San Dimas, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
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

1125 Via Verde
San Dimas, CA 91773-4400
Phone: (909) 592-9778
Fax: (909) 599-6126
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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 20A5217 (CA)

Record details

NPI number1639109713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Davis — Owner · (909) 592-9778
NPI enumeratedJuly 4, 2006
Last updated in NPPESFebruary 19, 2013
Mailing address1125 Via Verde, San Dimas, CA 91773-4400

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