Pacific Shores Medical Group, Inc

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PACIFIC SHORES MEDICAL GROUP, INC

Practice address

16300 Sand Canyon Ave
Ste 207
Irvine, CA 92618

Phone

(949) 333-7580

Fax

(949) 333-7599

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Nerses Simon Tchekmedyain, MD

Title

Ceo

Phone

(949) 333-7580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• City of Hope Medical Foundation

  • Hematology & Oncology Physician
  • Long Beach, CA
  • NPI 1417968413

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc

  • Hematology & Oncology Physician
  • Huntington Beach, CA
  • NPI 1598814634

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc.

  • Hematology & Oncology Physician
  • Long Beach, CA
  • NPI 1073662110

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc.

  • Hematology & Oncology Physician
  • Monterey Park, CA
  • NPI 1639375132

  O20040417000523

  Same enrollment
• Pacific Shores Medical Group, Inc.

  • Hematology & Oncology Physician
  • Glendale, CA
  • NPI 1871642991

  O20040417000523

  Same enrollment

Locations

Practitioners 7

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

• Luke W. Chen, M.D.

  • Hematology & Oncology Physician
  • Huntington Beach, CA
  • NPI 1265451736
  NPD
• Sudarsan Kollimuttathuillam, MD

  • Hematology & Oncology Physician
  • Irvine, CA
  • NPI 1902324528
  NPD
• Danny Nguyen, M.D.

  • Hematology & Oncology Physician
  • Huntington Beach, CA
  • NPI 1386960334
  NPD
• Sarmen V. Sarkissian, M.D.

  • Hematology & Oncology Physician
  • Mission Hills, CA
  • NPI 1215201058

  Multi-Specialty

  NPD
• Nishan Tchekmedyian, MD

  • Hematology & Oncology Physician
  • Huntington Beach, CA
  • NPI 1235450305
  NPD
• Katherine Michelle Cunha, NP

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1699242776
  NPD (past)
• Paula Ann Dithomas, FNP-C

  • Family Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1740623453
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1447587050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ELM AVE",
            "address_2": "STE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133271",
            "telephone_number": "562-590-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "STE 207",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-333-7580",
            "fax_number": "949-333-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SHORES MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "TCHEKMEDYAIN",
        "authorized_official_first_name": "NERSES",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-333-7580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Hospitalist Associates a Medical Corporation
• Pacific Hospitalist Associates a Medical Corporation
• Pacific Medical Laboratory Inc.
• Pacific Optometric Group
• Pacific Pain & Vein Apc
• Pacific Spine & Sports, Inc.
• Isabela Pacis
• Aimee Pack, BCBA
• Joseph L Packer, DMD
• Kanei Padhya

• Hematology & Oncology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.