Organization Active NPI

My Hope Medical Group Inc

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1447076781
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MY HOPE MEDICAL GROUP INC
Practice address
1110 W la Palma Ave Ste 10
Anaheim, CA 92801-2826
Phone
(714) 603-7366
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Maria Virginia Caballero, PANPI 1942417365
Title
Owner
Phone
(714) 292-9025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1110 W la Palma Ave Ste 10
Anaheim, CA 92801-2826

Mailing address

1110 W la Palma Ave Ste 10
Anaheim, CA 92801-2826
Phone (714) 603-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409003063 CA Part B Supplier - Clinic/Group Practice 3274057492 Receives reassigned benefits from 2 practitioners
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

1110 W La Palma Ave
Ste 10
Anaheim, CA 92801
Phone (714) 603-7366

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1447076781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W LA PALMA AVE STE 10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012826",
            "telephone_number": "714-603-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W LA PALMA AVE STE 10",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012826",
            "telephone_number": "714-603-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HOPE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-292-9025",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.