Organization Active NPI

Saddleback Medical Group, Inc

  • Internal Medicine Physician
  • Laguna Woods, CA
National Provider Identifier
1124502265
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SADDLEBACK MEDICAL GROUP, INC
Practice address
24331 El Toro Rd Ste 330
Laguna Woods, CA 92637-2754
Phone
(949) 716-0833
Fax
(949) 581-0694
NPI assigned
Sep 24, 2018
Organization subpart
Yes
Parent organization
SADDLEBACK MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. Benjamin M Weinberg, M.D.NPI 1598826612
Title
Director/Officer
Phone
(949) 465-8155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

24331 El Toro Rd Ste 330
Laguna Woods, CA 92637-2754

Mailing address

24221 Calle de la Louisa Ste 400
Laguna Hills, CA 92653-7632
Phone (949) 465-8155

National Provider Directory

National Provider Directory
Part of
Saddleback Medical Group Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1124502265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24221 CALLE DE LA LOUISA STE 400",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537632",
            "telephone_number": "949-465-8155",
            "fax_number": "949-465-8159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD STE 330",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372754",
            "telephone_number": "949-716-0833",
            "fax_number": "949-581-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SADDLEBACK MEDICAL GROUP, INC.",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "949-465-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.