Bristol McFadden Medical Group,Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BRISTOL MCFADDEN MEDICAL GROUP,INC.

Practice address

1212 S Bristol St
Suite 16
Santa Ana, CA 92704-3476

Phone

(714) 966-0646

Fax

(714) 966-2438

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kasin Ekmaha Chai, M.D.NPI 1043306624

Title

President

Phone

(714) 966-0646

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bristol McFadden Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bristol McFadden Medical Group, Inc.

  • Pediatrics Physician
  • Santa Ana, CA
  • NPI 1376843771
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kasin Ekmaha Chai, M.D.

  • Pediatrics Physician
  • Santa Ana, CA
  • NPI 1043306624
  NPD (past) Authorized official
• Ashley Brewer, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1114428059
  NPD (past)
• Edward E Chai, M.D.

  • Pediatrics Physician
  • Santa Ana, CA
  • NPI 1700901337
  NPD (past)
• Oranee Ekmaha Chai, M.D.

  • Pediatrics Physician
  • Santa Ana, CA
  • NPI 1245326982
  NPD (past)
• Saori Minami, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1790146983
  NPD (past)
• Belinda Sun

  • Medical Physician Assistant
  • Santa Ana, CA
  • NPI 1366868184
  NPD (past)
• Vy-Van Tran, PA-C

  • Physician Assistant
  • Santa Ana, CA
  • NPI 1891046330
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1003902610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST",
            "address_2": "SUITE 16",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043476",
            "telephone_number": "714-966-0646",
            "fax_number": "714-966-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BRISTOL ST",
            "address_2": "SUITE 16",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043476",
            "telephone_number": "714-966-0646",
            "fax_number": "714-966-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL MCFADDEN MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "CHAI",
        "authorized_official_first_name": "KASIN",
        "authorized_official_middle_name": "EKMAHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-966-0646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0009850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Briseno Tellez
• Adrian A Briseno
• Ana T Briseno, NONE
• Bristol Drug Co., Inc
• Bristol McFadden Medical Group, Inc.
• Bristol Park Medical Group, Inc.
• Bristol Physical Therapy & Sports Medicine Center
• Bristol Plaza Family Medicine, a Professional Medical Corporation
• Alma Brito
• Bianca Brito, LCSW

• Pediatrics Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.