Agm Medical Group, P.C.
Organization Active NPI Family Medicine Physician · Temecula, CA
NPI 1003617499 · NPPES record last updated May 19, 2026
Key facts
- NPI
- 1003617499
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AGM MEDICAL GROUP, P.C.
- Practice address
- 27349 Jefferson Ave Ste 100
Temecula, CA 92590-5611 - Phone
- (866) 211-9447
- Fax
- (619) 393-0840
- NPI assigned
- Mar 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Andrew Paul Desjardins, MD
- Title
- Authorized Official
- Phone
- (866) 211-9447
Practitioners 7
-
Andrew Desjardins, M.D.
-
Anh-Thu L Pham, FNP-C
-
Kristen Tautua, FNP
-
Kasama Brand, NP
-
Summer Trinity Barnes, DNP, FNP-BC
-
Colleen Campfield, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250630003819 | CA | Part B Supplier - Clinic/Group Practice | 5890208185 |
Receives reassigned benefits from 5 practitioners Practice locations: Temecula, CA |
National Provider Directory
Locations
27349 Jefferson Ave
Ste 100
Temecula, CA 92590
Phone (800) 758-7571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
27349 Jefferson Ave Ste 100
Temecula, CA 92590-5611
Mailing address
27349 Jefferson Ave Ste 100
Temecula, CA 92590-5611
Phone (866) 211-9447
Other providers in Temecula, CA
- Afog, Inc.
- Cyan Agena
- Nina Marie Aghakhani
- Robin M Aghbashian
- Rozeta Aglione
- Jason Agnetti
- Maria Socorro Agorrilla
- Aditya Agrawal
- Nina Rebecca Aguele
- Aida Aguilar
All providers in Temecula, 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 May 19, 2026. 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.