John a Fagan MD Family Practice Inc
NPI 1417130881 · Primary Care Clinic/Center · Rancho Cucamonga, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John a Fagan MD Family Practice Inc is a Primary Care Clinic/Center organization in Rancho Cucamonga, CA (NPI 1417130881).
Provider details
- NPI number
- 1417130881
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Fagan, Owner(909) 982-7741
- License
- G060968 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-08
- Last updated
- 2013-02-04
Frequently asked questions
- What is John a Fagan MD Family Practice Inc's NPI number?
- John a Fagan MD Family Practice Inc's National Provider Identifier (NPI) is 1417130881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is John a Fagan MD Family Practice Inc?
- John a Fagan MD Family Practice Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is John a Fagan MD Family Practice Inc located?
- John a Fagan MD Family Practice Inc's practice location on file with NPPES is 10787 Laurel St, Rancho Cucamonga, CA 91730-3828.
- What is John a Fagan MD Family Practice Inc's phone number?
- The practice phone number listed in the NPPES registry for John a Fagan MD Family Practice Inc is (909) 982-7741.
- Does John a Fagan MD Family Practice Inc accept Medicare?
- John a Fagan MD Family Practice Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for John a Fagan MD Family Practice Inc?
- The authorized official listed on John a Fagan MD Family Practice Inc's NPPES record is John Fagan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is John a Fagan MD Family Practice Inc's NPI active?
- Yes — John a Fagan MD Family Practice Inc's NPI (1417130881) is active in the NPPES registry as of the last update on 2013-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.