Centers for Family Medicine GP
Organization Active NPI Family Medicine Physician · Los Alamitos, CA
NPI 1467598243 · NPPES record last updated Aug 2, 2024
Key facts
- NPI
- 1467598243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CENTERS FOR FAMILY MEDICINE GP
- Practice address
- 3460 Katella Ave
Los Alamitos, CA 90720-2334 - Phone
- (562) 594-6599
- Fax
- (562) 598-6220
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Emily Castillo
- Title
- Associate Director
- Phone
- (702) 480-2550
Practitioners 457
-
Elmo Michael Agatep, M.D.
-
Lisa Ann Baldwin, FNP
-
Steven Joseph Becker, D.O.
-
Annette C Bernhut, D.O.
-
Bassam R Bilal, M.D.
-
Rajnish Birla, MD
-
Howard Kenneth Bland, M.D.
-
Cherrie Bravo, MD
-
James Joseph Burris, D.O.
-
Stefan Cadag, D.O.
-
Lauren Canchola, NP-C
-
Christine Carreon, DNP, FNP-BC, MS
-
Sophia Chun, MD
-
Matthew Davis, MD
-
Ellen Dayon, MD
-
Mahshid Elmzadeh, MD
-
Ana Cecilia Fajardo, M.D.
-
Linda M Fitzgerald, RPT
-
Pratik Gandhi, M.D.
-
Rudolf Haider, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050614000191 | CA | Part B Supplier - Clinic/Group Practice | 9931143799 |
Receives reassigned benefits from 260 practitioners Practice locations: Vista, CA; Anaheim, CA; Seal Beach, CA; San Juan Capistrano, CA; San Clemente, CA; Rancho Santa Margarita, CA; Orange, CA; Los Alamitos, CA… |
National Provider Directory
Locations
24331 El Toro Rd
Ste 300
Laguna Woods, CA 92637
Phone (949) 588-8700
26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691
Phone (949) 582-5430
26991 Crown Valley Pkwy
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-5430
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician |
207RE0101X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
3460 Katella Ave
Los Alamitos, CA 90720-2334
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 480-2550
Other names
- OPTUMCARE MEDICAL GROUP
Other providers in Los Alamitos, CA
- Eddie Alejandro Cecilio
- Jacqueline Celaya
- Risha Alleyne Rodis Cenidoza
- Center for Discovery & Adolescent Change
- Centers for Family Medicine
- Cep America-California
- Alexa Y Chai
- Stuart Alexander Chalfin
- Daniel Nora Chan
- Jennessa Chan
All providers in Los Alamitos, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.