Garden Grove Pathology Medical Group PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

GARDEN GROVE PATHOLOGY MEDICAL GROUP PC

Practice address

24892 Paseo Vendaval
Lake Forest, CA 92630-2139

Phone

(949) 874-0827

NPI assigned

Oct 8, 2025

Organization subpart

No

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

Authorized official

Name

Si Van Nguyen, M.D.NPI 1841234952

Title

President

Phone

(949) 874-0827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Si Van Nguyen, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Garden Grove, CA
  • NPI 1841234952
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Schmidt, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Anaheim, CA
  • NPI 1679519912
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1033084066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24892 PASEO VENDAVAL",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302139",
            "telephone_number": "949-874-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24892 PASEO VENDAVAL",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302139",
            "telephone_number": "949-874-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN GROVE PATHOLOGY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "SI",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-874-0827",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Garcia
• Diana Garcia
• Juan M Garcia
• Vanessa Garcia, LPCC
• Victoria Garcia
• Garfield Beach CVS LLC
• Megan Elisabeth Gavitt
• Julia Gearhart
• Jasmine Gemoya
• Genesis Sports Performance Inc

• Anatomic Pathology & Clinical Pathology Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.