ICON MEDICAL GROUP INC – NPI #1831033893
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

ICON MEDICAL GROUP INC is a provider located in REDLANDS, CA. NPPES recently assigned the NPI number 1831033893 to ICON MEDICAL GROUP INC on April 17, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ICON MEDICAL GROUP INC below.

NPI Profile for
ICON MEDICAL GROUP INC

NPI Number
1831033893
Enumeration Date

(about 7 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ICON MEDICAL GROUP INC
Primary location
350 TERRACINA BLVD
REDLANDS, CA 92373-4850
Phone: (909) 936-0600 Fax:
Mailing address
1690 BARTON RD STE 106
REDLANDS, CA 92373-4230
Phone: (909) 936-0600 Fax:
Organization Subpart
No
Authorized Official
SAMIR HAGE
PRESIDENT
Phone: (909) 936-0600
Updated
Certification Date
Apr 17, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.