Organization Active NPI

Aaa Medical Group

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1003336041
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64392 Issued in CA
Legal business name
AAA MEDICAL GROUP
Practice address
13071 Brookhurst St Ste 150
Garden Grove, CA 92843-1024
Phone
(657) 251-0974
Fax
(657) 251-0971
NPI assigned
Jun 21, 2017
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nelson Bond, MDNPI 1548208192
Title
Director
Phone
(657) 251-0974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A64392 CA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CB267742 CA
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X A64392 CA
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X E4237 CA

Addresses

Primary practice location

13071 Brookhurst St Ste 150
Garden Grove, CA 92843-1024

Mailing address

13071 Brookhurst St Ste 150
Garden Grove, CA 92843-1024
Phone (657) 251-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012003268 CA Part B Supplier - Clinic/Group Practice 6103191408 Receives reassigned benefits from 3 practitioners
Practice locations: Garden Grove, CA; Tulare, CA; Montclair, CA; Anaheim, CA; Dinuba, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2661 E Florence Ave
Ste B
Huntington Pk, CA 90255
Phone (323) 583-3375

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1003336041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 150",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431024",
            "telephone_number": "657-251-0974",
            "fax_number": "657-251-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13071 BROOKHURST ST STE 150",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431024",
            "telephone_number": "657-251-0974",
            "fax_number": "657-251-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2024-07-12",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "657-251-0974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64392",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "CB267742",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A64392",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.