Organization Active NPI

Pci Medical Group, Inc.

  • Adult Medicine Physician
  • Irvine, CA
National Provider Identifier
1043647258
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PCI MEDICAL GROUP, INC.
Practice address
2151 Michelson Dr
Suite 260
Irvine, CA 92612-1330
Phone
(714) 462-8181
Fax
(888) 504-6948
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Mr. Steven A Nahm
Title
Administrator
Phone
(714) 462-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

2151 Michelson Dr
Suite 260
Irvine, CA 92612-1330

Mailing address

2151 Michelson Dr
Suite 260
Irvine, CA 92612-1330
Phone (714) 462-8181

National Provider Directory

National Provider Directory

Locations

2151 Michelson Dr
Ste 260
Irvine, CA 92612
Phone (714) 462-8181

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1043647258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 MICHELSON DR",
            "address_2": "SUITE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121330",
            "telephone_number": "714-462-8181",
            "fax_number": "888-504-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 MICHELSON DR",
            "address_2": "SUITE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121330",
            "telephone_number": "714-462-8181",
            "fax_number": "888-504-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCI MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "NAHM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-462-8181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.