Caduceus Physicians Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G47766 Issued in CA

Legal business name

CADUCEUS PHYSICIANS MEDICAL GROUP

Practice address

18300 Yorba Linda Blvd
Suite 204
Yorba Linda, CA 92886-4052

Phone

(714) 577-6031

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Ray Weaver

Title

Vice President

Phone

(714) 646-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Caduceus Physi Cia2 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.

• Caduceus Physicians Medical Group

  • Family Medicine Physician
  • Laguna Beach, CA
  • NPI 1841404142
  NPD tax ID

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1285820340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 YORBA LINDA BLVD",
            "address_2": "SUITE 401",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864056",
            "telephone_number": "714-646-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 YORBA LINDA BLVD",
            "address_2": "SUITE 204",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864052",
            "telephone_number": "714-577-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADUCEUS PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-646-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G47766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G47766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel B Burnham, DDS
• Brooke Butler-Angaga, LMFT
• Patricia Kendrick Buttkus, LCSW
• Joanna Byrne, RDHAP
• C.a.a.T. Psychological Services Incorporated
• Caduceus Physicians Medical Group
• California Rehabilitation & Sports Therapy a California Physical Ther
• Edward Thomas Campagna, M.D.
• Kaitlyn R Campbell, DPT
• Sherrie Campbell, PH.D

• Family Medicine Physician in Yorba Linda, CA
• Providers in Yorba Linda, 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 Jul 11, 2008; 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.