Pacific Harbor Medical Group,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PACIFIC HARBOR MEDICAL GROUP,INC

Practice address

360 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4430

Phone

(310) 642-0100

Fax

(310) 642-0546

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Satish Manilal Patel, M.D.NPI 1629182704

Title

President

Phone

(310) 642-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Satish Manilal Patel, M.D.

  • Family Medicine Physician
  • El Segundo, CA
  • NPI 1629182704
  Medicare reassignment Care Compare group Authorized official
• Paz Pesach Eilat, M.D.

  • Internal Medicine Physician
  • Woodland Hills, CA
  • NPI 1053425108
  Medicare reassignment Care Compare group NPD
• Peter Nabil Mikhail, D.O.

  • Family Medicine Physician
  • El Segundo, CA
  • NPI 1861506941
  Medicare reassignment Care Compare group NPD
• Joseph Mikhail, M.D.

  • Family Medicine Physician
  • El Segundo, CA
  • NPI 1417119835
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1235232349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 3000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454430",
            "telephone_number": "310-642-0100",
            "fax_number": "310-642-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 3000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454430",
            "telephone_number": "310-642-0100",
            "fax_number": "310-642-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HARBOR MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "MANILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-642-0100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oxone Healthcare Inc
• Morgann Paaske
• Gabriela Pacheco
• Johnny Pacheco
• Pacific Harbor Medical Group
• Alexa Pacis
• Adriana Padilla
• Claudia Padilla
• Emily Padilla
• Haylee Brianne Padilla

• Family Medicine Physician in El Segundo, CA
• Providers in El Segundo, 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 Mar 14, 2024; 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.