Aaa Medical Group
Organization Active NPI Family Medicine Physician · Garden Grove, CA
NPI 1003336041 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1003336041
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A64392 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Nelson Bond, MD
- Title
- Director
- Phone
- (657) 251-0974
Member organizations 1
Practitioners 3
-
Khanh Tuan Duong, D.P.M.
-
Nelson K Bond, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | A64392 | CA | Yes |
| Family Medicine Physician |
207Q00000X | CB267742 | CA | |
| Otolaryngology Physician |
207Y00000X | A64392 | CA | |
| Foot & Ankle Surgery Podiatrist |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB267742 | Other | CA | MEDICARE PTAN |
| E4237 | Other | CA | MEDICARE PTAN |
| A64392 | Other | CA | MEDICARE PTAN |
Other providers in Garden Grove, CA
- A Miracle Place Inc
- A Place Like Home 1 LLC
- A Place Like Home I LLC
- A'S Anesthesia Services Inc
- A1 Medical Transportation
- Arlene Aaron
- Stephanie Lea Abbott
- Abc World Medical, Inc
- Mahmoud Youssef Abdallah
- Nabil Abdelmalak
All providers in Garden Grove, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.