Eagan Medical Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

EAGAN MEDICAL GROUP, INC.

Doing business as

Anew Era TMS & Psychiatry CA

Practice address

7677 Center Ave Ste 405
Huntington Beach, CA 92647-3098

Phone

(714) 828-1800

Fax

(714) 882-1186

NPI assigned

Nov 29, 2017

Last updated

Aug 26, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Magdalen Gustilo

Title

Director of Payer Relations

Phone

(714) 568-7667

Specialties & licenses 4

Addresses

Other names 1

• Anew Era TMS & Psychiatry CA Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Priti Bhardwaj, M.D.

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1750419230
  Medicare reassignment Care Compare group NPD
• John Anthony Chua Diya, NP

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1275095663

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Terry Van Eagan, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1538490123
  Medicare reassignment Care Compare group NPD
• Dexter Alonzo Jones Jr., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Long Beach, CA
  • NPI 1447830849
  Medicare reassignment Care Compare group NPD
• Stephany Lavigne

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
  • NPI 1669065660
  Medicare reassignment Care Compare group NPD
• Heather Kimberly Mak, MD

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1033430863
  Medicare reassignment Care Compare group NPD
• Tiffany Nix, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1679042238
  Medicare reassignment Care Compare group NPD
• Mary Lukens Wyman, LCSW

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1043882244
  Medicare reassignment Care Compare group NPD
• Starly Alvarado, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
  • NPI 1003444597
  Medicare reassignment NPD
• Sameer K Hassamal, MD

  • Psychiatry Physician
  • La Verne, CA
  • NPI 1538459011
  Medicare reassignment NPD
• Kahina Cathleen Kaci, LCSW

  • Clinical Social Worker
  • Orange, CA
  • NPI 1720538283
  Medicare reassignment NPD
• Martha C Obilor

  • Nurse Practitioner
  • Riverside, CA
  • NPI 1306202387
  Medicare reassignment NPD

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1265946289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128531",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 405",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473098",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23961 Calle De La Magdalena Ste 420",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533685",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 W Chapman Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928682649",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Oceangate Ste 610",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024365",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3848 W Carson St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036704",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10780 Santa Monica Blvd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900254749",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Quail St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602767",
            "country_code": "US",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGAN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "714-568-7667"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Era TMS & Psychiatry CA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.