Allcare Family Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85576 Issued in CA

Legal business name

ALLCARE FAMILY MEDICAL GROUP, INC

Practice address

6301 Beach Blvd
Suite 109
Buena Park, CA 90621-2840

Phone

(714) 525-9900

Fax

(714) 228-9228

NPI assigned

Dec 30, 2016

Organization subpart

No

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

Authorized official

Name

Martin Taehung Ahn, M.DNPI 1649342171

Title

Family Medicine

Phone

(714) 525-9900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Martin Taehung Ahn, M.D.

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1649342171
  Medicare reassignment NPD Authorized official
• Caitlyn Jeein Park

  • Family Nurse Practitioner
  • Buena Park, CA
  • NPI 1003462722
  Medicare reassignment NPD
• Soojin Yu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Norco, CA
  • NPI 1003277260
  Medicare reassignment NPD
• Hubert Kim Chang, DC

  • Sports Physician Chiropractor
  • Buena Park, CA
  • NPI 1972528941
  NPD
• Perfecto G Batalla Jr., PT

  • Physical Therapist
  • Buena Park, CA
  • NPI 1245371210
  NPD (past)
• Ferdinand Villanueva, OTR

  • Occupational Therapist
  • Azusa, CA
  • NPI 1932208477
  NPD (past)

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1083159057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 109",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-525-9900",
            "fax_number": "714-228-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 109",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-525-9900",
            "fax_number": "714-228-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE FAMILY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-30",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "TAEHUNG",
        "authorized_official_title_or_position": "FAMILY MEDICINE",
        "authorized_official_telephone_number": "714-525-9900",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Alfaro
• Elizabeth A Alikpala, D.D.S.
• King Karl Loquio Aliping
• All Partner Medical, a Prof. Medical Corp.
• All Season Ventures Inc
• Allen Choi, O.D., a Professional Corporation
• Tami Christine Allingham
• Ace E. Alvarez, NP-C
• Maritza Baez Alvarez, PSY.D.
• Laura Beatriz Alvisua

• Family Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.