Life Health Care Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LIFE HEALTH CARE MEDICAL GROUP INC

Practice address

505 N Tustin Ave Ste 190
Santa Ana, CA 92705-3777

Phone

(714) 784-5433

Fax

(714) 784-5438

NPI assigned

Aug 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Arturo Penunuri, MDNPI 1831270362

Title

MD

Phone

(714) 784-5433

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Rafael Arturo Penunuri, M.D.

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1831270362
  Medicare reassignment Care Compare group Authorized official
• Michael K. Wensley, M.D.

  • Specialist
  • West Hollywood, CA
  • NPI 1841336740
  Medicare reassignment Care Compare group NPD
• Nadia Akhlaq, M.D

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1770900805
  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1417685355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 190",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053777",
            "telephone_number": "714-784-5433",
            "fax_number": "714-784-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N TUSTIN AVE STE 190",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053777",
            "telephone_number": "714-784-5433",
            "fax_number": "714-784-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "PENUNURI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-784-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lichte
• Richard Alfonso Licon, PA-C
• Jean M Liebhard, LMFT
• Monica Huyentran Lieu, PA
• Life Generations Healthcare LLC
• Life Linc Habaco, Inc
• Lifestream Hope & Wellness Center, Inc.
• Lifetime Value Pharmacy III, Inc.
• Jennifer Marie Lightner-Farrell
• Katrina Ligon

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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 Aug 9, 2022; 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.