Edinger Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDINGER MEDICAL GROUP, INC.

Practice address

9900 Talbert Ave Ste 301&302
Fountain Valley, CA 92708-5153

Phone

(714) 965-2543

Fax

(714) 965-2593

NPI assigned

Mar 15, 2023

Last updated

Oct 30, 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

Debyluz Keeney

Title

Credentialing Coordinator

Phone

(714) 965-2543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Ovalle Wer4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Edinger Medical Group, Inc.

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1215185640
  NPD tax ID
• Edinger Medical Group, Inc.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1235021346
  NPD tax ID
• Edinger Medical Group, Inc.

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1992724959
  NPD tax ID

Locations

Practitioners 8

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.

• Donna C Dessau, FNP-C

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1922499771
  Medicare reassignment NPD
• Bart Alden Barrett, M.D.

  • Family Medicine Physician
  • Huntington Beach, CA
  • NPI 1588601660
  NPD
• Jennifer R Keiner, MD

  • Internal Medicine Physician
  • Huntington Beach, CA
  • NPI 1508863887
  NPD
• Nicole Chow, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1578069423
  NPD (past)
• Jeanie Lam, FNP-C

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1982075859
  NPD (past)
• Victor Shikang Lin, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1871034033
  NPD (past)
• Shawn Kristin Shintaku, FNP-C

  • Family Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1710342332
  NPD (past)
• Victor Le Vo, NP

  • Adult Health Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1326470626
  NPD (past)

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1316648488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8039",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288039",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 TALBERT AVE STE 301&302",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-965-2543",
            "fax_number": "714-965-2593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20981 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926466338",
            "country_code": "US",
            "telephone_number": "714-965-2500",
            "fax_number": "714-965-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDINGER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-30",
        "status": "A",
        "authorized_official_last_name": "KEENEY",
        "authorized_official_first_name": "DEBYLUZ",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "714-965-2543"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Ride, LLC
• Natalia M Ebrahimian, OT
• Natalie Grace Echeverria
• Sivan Eckert
• Maurie Edelman
• Edinger Medical Group, Inc.
• Edinger Pediatrics, Inc.
• Joel Wesley Edwards
• Karla Jeannette Edwards
• Stephanie Tuason Ehret

• Family Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, 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 Oct 30, 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.