Nonsurgical Medical Group Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A52791 Issued in CA

Legal business name

NONSURGICAL MEDICAL GROUP INC

Practice address

3801 S Harbor Blvd
Suite B
Santa Ana, CA 92704-7901

Phone

(714) 751-5555

NPI assigned

Apr 17, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• NonSurgical Medical Group Doing business as

Part of

Tri - State Medical Group Inc

Locations

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1184044141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S HARBOR BLVD",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047901",
            "telephone_number": "714-751-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NONSURGICAL MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A52791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NonSurgical Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maritza Nogueda
• Ivan Noguez-Rivera
• Trisha Macaraeg Nola, PHARMD
• Mark Winston Nolte, PT
• Michael Angelo Rosete Nones, PHARMD
• Nonsurgical Medical Group, Inc.
• Kassidi Joy Noonan
• Michele Norberg, MSW
• John Allen Nordyke, LVN
• Cera Noriega

• Non-Pharmacy Dispensing Site in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.