Pacific Private Practice Network Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PACIFIC PRIVATE PRACTICE NETWORK INC

Practice address

30230 Rancho Viejo Rd
Suite 110
San Juan Capistrano, CA 92675-1557

Phone

(949) 441-5681

Fax

(949) 629-3716

NPI assigned

Feb 27, 2015

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael A Rovzar, M.D.NPI 1184675688

Title

Chief Executive Officer

Phone

(949) 291-6521

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 52

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.

• Michael Anthony Rovzar, M.D.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1184675688
  Medicare reassignment NPD Authorized official
• Patricia Ann Ahearn, M.D.

  • Internal Medicine Physician
  • San Juan Capistrano, CA
  • NPI 1982655304
  Medicare reassignment NPD
• Raveen Ramesh Arora, M.D.

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1164483244
  Medicare reassignment NPD
• Judy Lynn Bourget, MD

  • General Practice Physician
  • Dana Point, CA
  • NPI 1073593240
  Medicare reassignment NPD
• Helen Ching-Yei Chang, MD

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1639134687
  Medicare reassignment NPD
• William Weiming Chang, D.O.

  • Pulmonary Disease Physician
  • San Juan Capistrano, CA
  • NPI 1417902149
  Medicare reassignment NPD
• Ali Dabestani, M.D.

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
  • NPI 1831213701
  Medicare reassignment NPD
• Ricardo Davalos, M.D.

  • Family Medicine Physician
  • San Clemente, CA
  • NPI 1609804749
  Medicare reassignment NPD
• Yu-Hua Fang, M.D.

  • Internal Medicine Physician
  • San Juan Capistrano, CA
  • NPI 1881647642
  Medicare reassignment NPD
• William Paul Fukuda, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1396701850
  Medicare reassignment NPD
• Inderpal Singh Gujral, MD

  • Cardiovascular Disease Physician
  • Laguna Hills, CA
  • NPI 1063416410
  Medicare reassignment NPD
• James Huang, D.O.

  • Family Medicine Physician
  • Fullerton, CA
  • NPI 1518992635
  Medicare reassignment NPD

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1033501077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD",
            "address_2": "SUITE 110",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-441-5681",
            "fax_number": "949-629-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30230 RANCHO VIEJO RD",
            "address_2": "SUITE 110",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751557",
            "telephone_number": "949-441-5681",
            "fax_number": "949-629-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PRIVATE PRACTICE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ROVZAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-291-6521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Anne Ostermann, PH.D.
• Naya Lauren Ostrea, BA
• Deepa V Oza, FNP-C
• Pacific Hills Treatment Centers, Inc. (Covenant Hills)
• Pacific Pathways Speech Therapy, PC
• Deion Keiji Pagaduan
• Pain Recovery Medical Group (Tres Vistas Recovery)
• Jacques J Palmer, M.D.
• Paloma Incare
• Paloma Medical Group Inc

• Pulmonary Disease Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Jan 5, 2022; 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.