NPIMap

Organization Active NPI

Omni Integrated Medical Group Inc

  • General Practice Physician
  • Placentia, CA
National Provider Identifier
1366208845
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OMNI INTEGRATED MEDICAL GROUP INC
Practice address
601 E Yorba Linda Blvd Ste 2G
Placentia, CA 92870-3006
Phone
(760) 220-1991
Fax
(844) 328-5834
NPI assigned
Feb 22, 2024
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Isabelle Sabalones
Title
President
Phone
(760) 220-1991

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
General Practice Physician 208D00000X Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X

Addresses

Primary practice location

601 E Yorba Linda Blvd Ste 2G
Placentia, CA 92870-3006

Mailing address

601 E Yorba Linda Blvd Ste 2G
Placentia, CA 92870-3006
Phone (760) 220-1991

National Provider Directory

National Provider Directory

Locations

601 E Yorba Linda Blvd
Ste 2G
Placentia, CA 92870
Phone (951) 359-4782

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1366208845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 2G",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "760-220-1991",
            "fax_number": "844-328-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E YORBA LINDA BLVD STE 2G",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703006",
            "telephone_number": "760-220-1991",
            "fax_number": "844-328-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI INTEGRATED MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "SABALONES",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-220-1991"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.