Pacific Crest Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C037249 Issued in CA

Legal business name

PACIFIC CREST MEDICAL GROUP, INC.

Practice address

32341 Golden Lantern
Suite M
Laguna Niguel, CA 92677-5343

Phone

(949) 597-0124

Fax

(949) 597-0124

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Karla J Anderson

Title

Medical Biller

Phone

(949) 597-0124

Specialties & licenses 2

Addresses

Tax ID family

Pacific Crest Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Crest Medical Group Inc

  • Specialist
  • Dana Point, CA
  • NPI 1932131653
  NPD tax ID

Locations

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225011976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32341 GOLDEN LANTERN",
            "address_2": "SUITE M",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775343",
            "telephone_number": "949-597-0124",
            "fax_number": "949-597-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32341 GOLDEN LANTERN",
            "address_2": "SUITE M",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775343",
            "telephone_number": "949-597-0124",
            "fax_number": "949-597-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CREST MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "949-597-0124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C037249",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C040002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orange County Academy of Sciences and Arts
• Orange County Medical Transportation Services, LLC (Ocmts)
• Oso Niguel Medical Group
• Pacific Clinics
• Pacific Coast Heart Center a Professional Medical Corp
• Pain Management Equipment
• Andrew Pallos, D.D.S.
• Fouad Panah, M.D
• Mikaela Paniagua
• Frederick Mark Paoli, A.T.,C. , P.T.A.

• Family Medicine Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, 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 Aug 22, 2020; 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.