Health Link Medical Group Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

20A13788 Issued in CA

Legal business name

HEALTH LINK MEDICAL GROUP INC

Practice address

3142 Vista Way
Ste 206
Oceanside, CA 92056-3619

Phone

(760) 721-4000

Fax

(760) 721-4005

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Jacob Flores, MD

Title

Owner

Phone

(760) 809-4045

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Stephen Derrington, DO, INC

  • Physical Medicine & Rehabilitation Physician
  • Carlsbad, CA
  • NPI 1164795068
  Medicare reassignment NPD
• Jacobo Nava Flores, M.D

  • Adult Medicine Physician
  • Oceanside, CA
  • NPI 1164469201
  Medicare reassignment NPD
• Paul Handleman, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • San Rafael, CA
  • NPI 1922163179
  Medicare reassignment NPD
• Katia Nikita Riquelme, NP

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1619415122
  Medicare reassignment NPD
• Ronald Scott Cohen, M.D

  • Sports Medicine (Family Medicine) Physician
  • Oceanside, CA
  • NPI 1073588786
  Medicare reassignment
• Shounuck Ishver Patel, DO

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Newport Beach, CA
  • NPI 1356678692
  Medicare reassignment

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1013366236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-721-4000",
            "fax_number": "760-721-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY",
            "address_2": "STE 206",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563619",
            "telephone_number": "760-721-4000",
            "fax_number": "760-721-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH LINK MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-809-4045",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A60865",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A13788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Hayes, RD
• Michelle L Hayton, OCCUPATIONAL THERAPY
• Sally Hazard, LMFT
• Brooklyne Hazenberg, PA-C
• Lanay Hazzard-Marcell
• Health Link Medical Management Services LLC
• Health Psychology Center, P.C.
• Health-Link Medical Center
• Healthright360
• Kevin Eugene Hearn, PA-C

• Physical Medicine & Rehabilitation Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.