Formula Medical Group a Professional Medical Corporation
NPI 1710905690 · Family Medicine Physician · Apple Valley, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Formula Medical Group a Professional Medical Corporation is a Family Medicine Physician organization in Apple Valley, CA (NPI 1710905690).
Provider details
- NPI number
- 1710905690
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Krider, Doctor(760) 242-1234
- License
- G48897 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-18
- Last updated
- 2020-05-14
- Certified
- 2020-05-14
Frequently asked questions
- What is Formula Medical Group a Professional Medical Corporation's NPI number?
- Formula Medical Group a Professional Medical Corporation's National Provider Identifier (NPI) is 1710905690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Formula Medical Group a Professional Medical Corporation?
- Formula Medical Group a Professional Medical Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Formula Medical Group a Professional Medical Corporation located?
- Formula Medical Group a Professional Medical Corporation's practice location on file with NPPES is 18182 US Highway 18, Apple Valley, CA 92307-2200.
- What is Formula Medical Group a Professional Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Formula Medical Group a Professional Medical Corporation is (760) 242-1234.
- Does Formula Medical Group a Professional Medical Corporation accept Medicare?
- Formula Medical Group a Professional Medical Corporation 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 Formula Medical Group a Professional Medical Corporation?
- The authorized official listed on Formula Medical Group a Professional Medical Corporation's NPPES record is James Krider, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Formula Medical Group a Professional Medical Corporation's NPI active?
- Yes — Formula Medical Group a Professional Medical Corporation's NPI (1710905690) is active in the NPPES registry as of the last update on 2020-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.