PCG Medical Institute Corp.

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

PCG MEDICAL INSTITUTE CORP.

Practice address

11922 Seacrest Dr Ste E
Garden Grove, CA 92840-1937

Phone

(657) 667-0078

Fax

(209) 348-5005

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

James Phuong Minh Tran, MDNPI 1790737559

Title

Chief Operation Officer

Phone

(714) 342-5398

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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

• James Phuong Minh Tran, MD

  • Hospitalist Physician
  • El Segundo, CA
  • NPI 1790737559

  Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Michael C Lam, M.D.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1033122601
  Medicare reassignment Care Compare group NPD
• Hoa Hieu Nguyen, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1427285394
  Medicare reassignment Care Compare group NPD
• Tony T Ton-That, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lancaster, PA
  • NPI 1013904259

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1255103149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 SEACREST DR STE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401937",
            "telephone_number": "657-667-0078",
            "fax_number": "209-348-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 SEACREST DR STE E",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401937",
            "telephone_number": "657-667-0078",
            "fax_number": "209-348-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCG MEDICAL INSTITUTE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHUONG MINH",
        "authorized_official_title_or_position": "CHIEF OPERATION OFFICER",
        "authorized_official_telephone_number": "714-342-5398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathania Patterson, B.A.
• Victoria Patterson
• Paul Choong Hwan Lee, MD a Medical Corporation
• Temesha Paxton
• Stephanie Paz Valdovinos
• Irene Pe, MD
• Carolyn Marie Pearce, M.A., CCC-SLP
• Linda L Pearce, PNP
• Daisha Pearson
• Gemma Pedersen

• Integrative Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Integrative Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.