Saddleback Respiratory Medical GRP

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SADDLEBACK RESPIRATORY MEDICAL GRP

Practice address

24451 Health Center Dr
Laguna Hills, CA 92653-3689

Phone

(949) 837-4500

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Lelia McNicol

Title

Office Manager

Phone

(949) 643-3345

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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

• Vidal Julio Espeleta, M.D.

  • Pulmonary Disease Physician
  • Laguna Hills, CA
  • NPI 1245327808
  Medicare reassignment Care Compare group NPD
• Fady Kadifa, M.D.

  • Pulmonary Disease Physician
  • Laguna Hills, CA
  • NPI 1083711014
  Medicare reassignment Care Compare group NPD
• Bryan David Vo, M.D.

  • Pulmonary Disease Physician
  • Laguna Hills, CA
  • NPI 1851576060
  Medicare reassignment Care Compare group NPD
• Thomas T Vovan, M.D.

  • Pulmonary Disease Physician
  • Laguna Hills, CA
  • NPI 1134226012
  Medicare reassignment Care Compare group
• Kristin Lawler, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Fullerton, CA
  • NPI 1801278965
  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1164517843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7630",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926077630",
            "telephone_number": "949-643-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24451 HEALTH CENTER DR",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533689",
            "telephone_number": "949-837-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADDLEBACK RESPIRATORY MEDICAL GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "MCNICOL",
        "authorized_official_first_name": "LELIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-643-3345"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G256840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G256840",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G256840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "ZZZ53020Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saddleback Memorial Medical Center
• Saddleback Neurology
• Saddleback Outpatient Surgery Center LTD
• Saddleback Pain and Surgical Center
• Saddleback Radiation Oncology Medical Group
• Saddleback Transportation, Inc.
• Saddleback Valley Neuroscience Medical Group
• Saddleback Valley Podiatry Group Inc.
• Saddleback Valley Radiology Medical Associates
• Saddleback Womens Medical Group, a Medical Corporation

• Pulmonary Disease Physician in Laguna Hills, CA
• Providers in Laguna Hills, 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 Mar 31, 2016; 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.