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

Fernando Jose Avila

Individual provider Family Medicine Physician · NPI 1396364147

Fernando Jose Avila is a Family Practice in Ontario, California. Qualified in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone: (833) 574-2273
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 A182447 (CA)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence A182447 (CA)

Record details

NPI number1396364147
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024
Mailing address9961 Sierra Avenue, Mob-1, Fontana, CA 92335-6720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ontario