Pacific Pulmonary Group a Medical Corporation

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PACIFIC PULMONARY GROUP A MEDICAL CORPORATION

Practice address

15 Medici
Aliso Viejo, CA 92656-1474

Phone

(520) 730-5506

Fax

(440) 540-2924

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Ahmed El Bershawi MD, MD

Title

Owner

Phone

(440) 540-2924

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed El Bershawi, M.D.

  • Pulmonary Disease Physician
  • Riverside, CA
  • NPI 1619946654
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1033423140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICI",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561474",
            "telephone_number": "520-730-5506",
            "fax_number": "440-540-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICI",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561474",
            "telephone_number": "520-730-5506",
            "fax_number": "440-540-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PULMONARY GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "EL BERSHAWI MD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-540-2924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.