Astra Medical Group

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

I-77745-L Issued in CA

Legal business name

ASTRA MEDICAL GROUP

Doing business as

Astra primary medical group

Practice address

2617 E Chapman Ave Ste 205
Orange, CA 92869-3248

Phone

(714) 538-6822

Fax

(714) 280-4510

NPI assigned

Apr 25, 2007

Last updated

Aug 24, 2009By 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

Jacqueline Figueroa

Title

Supervisor

Phone

(714) 538-6822

Specialties & licenses 1

Addresses

Other names 1

• Astra primary medical group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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.

• Graciela Lia Imbastari, MD

  • Internal Medicine Physician
  • Orange, CA
  • NPI 1801809983
  Medicare reassignment Care Compare group NPD
• Janja Viltuznik, M.D.

  • Adult Medicine Physician
  • Orange, CA
  • NPI 1639182702
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1336368422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693248",
            "telephone_number": "714-538-6822",
            "fax_number": "714-280-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 E CHAPMAN AVE STE 205",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693248",
            "telephone_number": "714-538-6822",
            "fax_number": "714-280-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "714-538-6822"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "I-77745-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astra primary medical group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associates in Counseling & Mediation
• Associates in Counseling & Mediation
• Associatesincounseling & Mediation
• Erika Nicole Assoun
• Alexandria Elizabeth Asten
• Kristine Astvatsaturyan, M.D.
• Negar Atashpanjeh
• Sienna Atendido
• Paul Athanasius, D.D.S
• Jesse Curtiss Atherton

• Health Maintenance Organization in Orange, CA
• Providers in Orange, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.