California Care Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A84344 Issued in CA

Legal business name

CALIFORNIA CARE MEDICAL GROUP, INC.

Practice address

24910 Las Brisas Rd
Suite 120
Murrieta, CA 92562-4010

Phone

(951) 677-9898

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Hovan To, M.D.NPI 1407948474

Title

President

Phone

(951) 677-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• California Care Internal Medicine Group, Inc. Doing business as

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

Locations

Practitioners 3

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

• Bryan Hovan To, M.D.

  • Internal Medicine Physician
  • Murrieta, CA
  • NPI 1407948474
  Medicare reassignment NPD Authorized official
• Krystal Jianghuizi Li, DNP

  • Nurse Practitioner
  • Diamond Bar, CA
  • NPI 1780554527
  NPD (past)
• Sean S To, M.D.

  • Internal Medicine Physician
  • Chino, CA
  • NPI 1922163310
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1083706063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 120",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-677-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24910 LAS BRISAS RD",
            "address_2": "SUITE 120",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624010",
            "telephone_number": "951-677-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "HOVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-677-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "ZZZ01356Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Care Internal Medicine Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• California Dermatology Institute PC
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• California Imaging & Diagnostics Medical Group, Inc.
• California Medical Conveyance

• Internal Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.