Edward Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A44458 Issued in CA

Legal business name

EDWARD MEDICAL GROUP, INC

Practice address

12828 Harbor Blvd
Suite 230
Garden Grove, CA 92840-5831

Phone

(714) 741-4900

Fax

(714) 741-4910

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Eddie C Pyune, M.D.NPI 1457445124

Title

President

Phone

(714) 741-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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

• Eddie C Pyune, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1457445124
  Medicare reassignment NPD Authorized official
• Martin Taehung Ahn, M.D.

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1649342171
  NPD (past)
• Francisco Licopit Badar III, MD

  • Family Medicine Physician
  • Cerritos, CA
  • NPI 1760667729
  NPD (past)
• Richard Han, M.D.

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1821061466
  NPD (past)
• Inil Lisa Lin, M.D.

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1942395983
  NPD (past)
• Jennifer Eunhee Park

  • Acupuncturist
  • Anaheim, CA
  • NPI 1982851168
  NPD (past)
• Felicia Kim Tran, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1225100753
  NPD (past)
• Juan Xu, L.AC

  • Acupuncturist
  • Arcadia, CA
  • NPI 1083861827
  NPD (past)
• Feng Yu, O.M.D.

  • Acupuncturist
  • Anaheim, CA
  • NPI 1770785487
  NPD (past)
• Jaung Soon Park, L.AC., DAOM

  • Acupuncturist
  • Annandale, VA
  • NPI 1144365255
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1275627986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928420249",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 HARBOR BLVD",
            "address_2": "SUITE 230",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405831",
            "telephone_number": "714-741-4900",
            "fax_number": "714-741-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "PYUNE",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-741-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A44458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arabella Ibo Ebdane
• Douglas Humberto Echeverria
• Gift Edeifo, CSW
• Edisto Dialysis LLC (Garden Grove Harbor Dialysis)
• Eduardo Vasquez DDS Inc
• Edward Medical Ipa, Inc.
• Cassidy Edwards
• Jessica Edwards
• Julianne Pellizzon Edwards, BCBA
• Keishawana Edwards

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, 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 Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.